Sample records for surgical liaison nurses

  1. Psychiatric nursing liaison in a combat zone: an autoethnography. (United States)

    Whybrow, D


    Military mental health nurses are tasked with providing psychiatric liaison to British forces deployed to combat zones. This forms part of a wider effort to maintain the combat effectiveness of the fighting force. During a recent deployment, I maintained a reflexive journal of my experience of liaising with the British Chain of Command. I then used line by line coding via the NVIVO 9 software package to formulate the core themes that became a framework for this autoethnography. My personality and social anxieties shaped how I performed the psychiatric liaison role. I was able to develop a template for liaison that accounted for both 'me' and my need to feel authentic or credible as a nurse, yet still enabled me to communicate effectively with the Chain of Command. One template for psychiatric nursing liaison with British combat forces is to focus upon key stakeholders within the Chain of Command, specifically, the Officer Commanding, the Sergeant Major, the Trauma Risk Management co-ordinator (usually the Sergeant Major) and the embedded medical asset. Further research is needed to establish how other nurses approach psychiatric nursing liaison.

  2. The Effect of Liaison Nurse Service on Patient Outcomes after Discharging From ICU: a Randomized Controlled Trial

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    Zeinab Tabanejad


    Full Text Available Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran. Patients were randomly allocated to either the experimental or the control groups. Patients in the experimental group received post-ICU care from a liaison nurse and patients in the control group received the routine care. After the intervention, patients’ vital signs, level of consciousness, length of hospital stay, need for re-hospitalization in ICU, and satisfaction with care were measure. Data were analyzed by SPSS Ver.13 software. Results: None of the participants experienced ICU re-hospitalization. According to the result and there were no significant differences between the study groups regarding heart rate, respiratory rate, systolic blood pressure, post-ICU level of consciousness, satisfaction with care, and length of hospitalization in medical-surgical wards. However, the study groups differed significantly in terms of body temperature. Conclusion: Care services provided by an ICU liaison nurse has limited effects on patient outcomes. However, considering the contradictions among the studies, further studies are needed for providing clear evidence about the effectiveness of the liaison nurse strategy.

  3. The Effect of Liaison Nurse Service on Patient Outcomes after Discharging From ICU: a Randomized Controlled Trial (United States)

    Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas


    Introduction: Recent studies suggest that liaison nurse intervention might be effective to solve the gap between intensive care unit and wards, but little studies are known about the effect of this intervention. The aim of this study was to investigate the effect of liaison nurse service on patient outcomes after discharging from intensive care unit. Methods: In this single blinded randomized controlled trial, a total of 80 patients were selected by convenience sampling method from two teaching hospitals located in Tehran, Iran. Patients were randomly allocated to either the experimental or the control groups. Patients in the experimental group received post-ICU care from a liaison nurse and patients in the control group received the routine care. After the intervention, patients’ vital signs, level of consciousness, length of hospital stay, need for re-hospitalization in ICU, and satisfaction with care were measure. Data were analyzed by SPSS Ver.13 software. Results: None of the participants experienced ICU re-hospitalization. According to the result and there were no significant differences between the study groups regarding heart rate, respiratory rate, systolic blood pressure, post-ICU level of consciousness, satisfaction with care, and length of hospitalization in medical-surgical wards. However, the study groups differed significantly in terms of body temperature. Conclusion: Care services provided by an ICU liaison nurse has limited effects on patient outcomes. However, considering the contradictions among the studies, further studies are needed for providing clear evidence about the effectiveness of the liaison nurse strategy. PMID:27752487

  4. Mental Health promotion of a hospital through the nurse in the liaison psychiatry team

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    Natalia Cámara Conde


    Full Text Available We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional.Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member.The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team.

  5. Nurse-led liaison mental health service for older adults: service development using lean thinking methodology. (United States)

    Atkinson, Paula; Mukaetova-Ladinska, Elizabeta B


    Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a proactive approach to services and integrating assessment and treatment of mental disorder into routine general hospital practice. This requires a physical presence of liaison services in the hospital, with collaboration with medical colleagues. We have adopted the above strategy in a nurse-led liaison service working in a General District Hospital, and used the Toyota Production System. In the current study we reflect on the 5 day rapid progress improvement workshops event for the liaison branch of the project, and describe the process of identifying real situation problems for the care of the medically ill, the involvement of the liaison team in their clinical care, and a feedback on the change in practice. The novel approach of identifying areas for change in an ongoing nurse-led Liaison service for Older Adults resulted in improving access to mental health services for elderly medically ill inpatients and improved quality of their overall care. Copyright © 2011 Elsevier Inc. All rights reserved.

  6. The Refugee Health Nurse Liaison: a nurse led initiative to improve healthcare for asylum seekers and refugees. (United States)

    McBride, Jacquie; Russo, Alana; Block, Andrew


    Asylum seekers and refugees experience a range of barriers to health service access and competent use. The Refugee Health Nurse Liaison initiative was piloted at a hospital in a high-settlement region of Victoria, Australia. This initiative aimed to build capacity within the health sector to more effectively respond to the needs of asylum seekers and refugees. A mixed-methods evaluation was undertaken to: describe issues encountered by asylum seekers and refugees within the hospital setting; capture the nature of the Refugee Health Nurse Liaison position; and document key outputs. Throughout the pilot period, 946 patients were referred to the role, of which 99% received an assessment of physical, mental, and social health. Refugee Health Nurse Liaisons effectively provided clinical support, advocacy, education, referrals, and both formal and informal capacity building. Learnings from this model are transferable to services in high-settlement regions, and could have application in improving patient care more broadly.

  7. Reflective practice groups for nurses: a consultation liaison psychiatry nursing initiative: part 1--The model. (United States)

    Dawber, Chris


    In the present study, we outline the evolution of a process-focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3-year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group-as-a-whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process-focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision. © 2012 The Author; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  8. [Liaison psychiatry nurse: the development of supervision in somatic medicine]. (United States)

    Dorogi, Y; Campiotti, C; Gebhard, S


    Over the years, somatic care has become increasingly specialized. Furthermore, a rising number of patients requiring somatic care also present with a psychiatric comorbidity. As a consequence, the time and resources needed to care for these patients can interfere with the course of somatic treatment and influence the patient-caregiver relationship. In the light of these observations, the Liaison Psychiatry Unit at the University Hospital in Lausanne (CHUV) has educated its nursing staff in order to strengthen its action within the general care hospital. What has been developed is a reflexive approach through supervision of somatic staff, in order to improve the efficiency of liaison psychiatry interventions with the caregivers in charge of patients. The kind of supervision we have developed is the result of a real partnership with somatic staff. Besides, in order to better understand the complexity of interactions between the two systems involved, the patient's and the caregivers', we use several theoretical references in an integrative manner. PSYCHOANALYTICAL REFERENCE: The psychoanalytical model allows us to better understand the dynamics between the supervisor and the supervised group in order to contain and give meaning to the affects arising in the supervision space. "Containing function" and "transitional phenomena" refer to the experience in which emotions can find a space where they can be taken in and processed in a secure and supportive manner. These concepts, along with that of the "psychic envelope", were initially developed to explain the psychological development of the baby in its early interactions with its mother or its surrogate. In the field of supervision, they allow us to be aware of these complex phenomena and the diverse qualities to which a supervisor needs to resort, such as attention, support and incentive, in order to offer a secure environment. SYSTEMIC REFERENCE: A new perspective of the patient's complexity is revealed by the group

  9. Experiences of the Implementation of a Learning Disability Nursing Liaison Service within an Acute Hospital Setting: A Service Evaluation (United States)

    Castles, Amy; Bailey, Carol; Gates, Bob; Sooben, Roja


    It has been well documented that people with learning disabilities receive poor care in acute settings. Over the last few years, a number of learning disability liaison nurse services have developed in the United Kingdom as a response to this, but there has been a failure to systematically gather evidence as to their effectiveness. This article…

  10. Conceptualising the functional role of mental health consultation-liaison nurse in multi-morbidity, using Peplau's nursing theory. (United States)

    Merritt, Michael K; Procter, Nicholas


    This paper examines the mental health consultation-liaison nursing (MHCLN) role and links this to the interpersonal relations theory of nurse theorist Hildegard Peplau. The paper argues that, as mental health nursing care around the world is increasingly focused upon meaningful therapeutic engagement, the role of the MHCLN is important in helping to reduce distressing symptoms, reduce the stigma for seeking help for mental health problems and enhancing mental health literacy among generalist nurses. The paper presents a small case exemplar to demonstrate interpersonal relations theory as an engagement process, providing patients with methodologies which allow them to work through the internal dissonance that exists in relation to their adjustment to changes in life roles precipitated by physical illness. This dissonance can be seen in the emergence of anxiety, depression and abnormal/psychogenic illness behaviours. This paper concludes arguing for considerable effort being given to the nurse-patient relationship that allows for the patient having freedom to use strategies that may help resolve the dissonance that exists.

  11. Making reasonable and achievable adjustments: the contributions of learning disability liaison nurses in 'Getting it right' for people with learning disabilities receiving general hospitals care. (United States)

    MacArthur, Juliet; Brown, Michael; McKechanie, Andrew; Mack, Siobhan; Hayes, Matthew; Fletcher, Joan


    To examine the role of learning disability liaison nurses in facilitating reasonable and achievable adjustments to support access to general hospital services for people with learning disabilities. Mixed methods study involving four health boards in Scotland with established Learning Disability Liaison Nurses (LDLN) Services. Quantitative data of all liaison nursing referrals over 18 months and qualitative data collected from stakeholders with experience of using the liaison services within the previous 3-6 months. Six liaison nurses collected quantitative data of 323 referrals and activity between September 2008-March 2010. Interviews and focus groups were held with 85 participants included adults with learning disabilities (n = 5), carers (n = 16), primary care (n = 39), general hospital (n = 19) and liaison nurses (n = 6). Facilitating reasonable and achievable adjustments was an important element of the LDLNs' role and focussed on access to information; adjustments to care; appropriate environment of care; ensuring equitable care; identifying patient need; meeting patient needs; and specialist tools/resources. Ensuring that reasonable adjustments are made in the general hospital setting promotes person-centred care and equal health outcomes for people with a learning disability. This view accords with 'Getting it right' charter produced by the UK Charity Mencap which argues that healthcare professionals need support, encouragement and guidance to make reasonable adjustments for this group. LDLNs have an important and increasing role to play in advising on and establishing adjustments that are both reasonable and achievable. © 2015 John Wiley & Sons Ltd.

  12. Integrating psychosocial skills into a medical-surgical curriculum in a baccalaureate nursing program. (United States)

    Christoffersen, Jean; Barron, Anne-Marie; Lynch, Marla; Caroline, Harlene


    With the increasing acuity levels of hospitalized patients, faculty members struggle with accessing clinical sites for undergraduate students. Teaching students how to interact with patients and their families can often take second place to attending to the many needs and safety issues in caring for acutely ill individuals, particularly in medical-surgical settings. Over the past several years, the psychiatric and medical-surgical faculty members in the nursing department of a college in Boston have struggled with how best to prepare students for both the physical and psychosocial aspects of care. In this article, the evolution of our psychiatric consultation-liaison model is discussed.

  13. Exploratory study of mental health consultation-liaison nursing in Australia: Part 2. Preparation, support and role satisfaction. (United States)

    McNamara, Paul; Bryant, Jenni; Forster, John; Sharrock, Julie; Happell, Brenda


    Mental health Consultation-Liaison (CL) nursing continues to develop and gain recognition as a subspecialty of mental health nursing. CL roles are particularly important given the significant number of people experiencing mental illness and other mental health problems within the general health-care settings. However, despite the potential value of these roles, the literature provides little information about these roles and about the nurses who work in these roles. This is the second part of a two-part paper describing a survey of CL nurses in Australia. Part 1 describes demographic data and characteristics of the CL role. Part 2 provides an exploration of the following factors: educational preparation, support, and work satisfaction. The findings identified specific educational needs in preparation and ongoing support for the role. However, overall the participants expressed a high level of satisfaction with their work. Given the current recruitment problems in mental health nursing, the promotion of the CL nursing role might enhance a more positive view of this branch of nursing.

  14. Perioperative nurse training in cardiothoracic surgical robotics. (United States)

    Connor, M A; Reinbolt, J A; Handley, P J


    The exponential growth of OR technology during the past 10 years has placed increased demands on perioperative nurses. Proficiency is required not only in patient care but also in the understanding, operating, and troubleshooting of video systems, computers, and cutting edge medical devices. The formation of a surgical team dedicated to robotically assisted cardiac surgery requires careful selection, education, and hands-on practice. This article details the six-week training process undertaken at Sarasota Memorial Hospital, Sarasota, Fla, which enabled staff members to deliver excellent patient care with a high degree of confidence in themselves and the robotic technology.

  15. The practice of standardized management of liaison nurses committed to coordinating stomatologic nursing groups%口腔专科护理小组联络护士规范化管理的实践

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    彭美娟; 梁宝卿; 黄静; 欧仲爱; 胡惠贤; 陈琳


    Objective To explore the effect of standardized management of liaison nurses who are committed to coordinating stomatologic nursing groups on their work quality. Methods In the self controlled study, we selected 56 liaison nurses who were committed to coordinating stomatological nursing groups as participants. We managed these nurses in the following standardized measures: we developed a liaison nurse workbook, formulated a tracking system to keep track of difficult-to-treat cases; also, we built up a communication platform for nurse specialists and provided assorted training programs. Results After the intervention, liaison nurse s work quality was significantly improved; among others, their clinical competency and their sense of job achievement as an liaison nurse were significantly higher than before the intervention; they applied for a consultation with a nursing specialist group more actively than before (P<0. 05, P<0. 01). Also, nursing specialist groups had higher appraisal on liaison nurses work(P<0. 01). The rate of successful consultation with oral nursing specialist groups amounted to 91. 30%. Conclusion The implementation of standardized management helps develop liaision nurses advantage, and improve their clinical competency as well as quality of work.%目的 探讨规范化管理对口腔专科护理小组联络护士工作质量的影响.方法 采取自身对照的方法,对56名口腔专科护理小组联络护士,采用设计联络护士工作手册、制定疑难护理个案跟踪管理制度、建立专科护理交流平台、开展形式多样专科护理培训等进行跟踪管理.结果 干预后联络护士的工作质量显著优于干预前,其中联络护士临床实践能力、主动请专科护理小组会诊、担任联络护士的工作成就感等显著优于干预前(P<0.05,P<0.01);干预后专科护理小组对联络护士工作评价显著提高(P<0.01),口腔专科护理小组护理会诊成功率达91.30%.结论 实

  16. Cost-effectiveness of ward-based pharmacy care in surgical patients: protocol of the SUREPILL (Surgery & Pharmacy In Liaison study

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    Kuks Paul F


    Full Text Available Abstract Background Preventable adverse drug events (pADEs are widely known to be a health care issue for hospitalized patients. Surgical patients are especially at risk, but prevention of pADEs in this population is not demonstrated before. Ward-based pharmacy interventions seem effective in reducing pADEs in medical patients. The cost-effectiveness of these preventive efforts still needs to be assessed in a comparative study of high methodological standard and also in the surgical population. For these aims the SUREPILL (Surgery & Pharmacy in Liaison study is initiated. Methods/Design A multi-centre controlled trial, with randomisation at ward-level and preceding baseline assessments is designed. Patients admitted to the surgical study wards for elective surgery with an expected length of stay of more than 48 hours will be included. Patients admitted to the intervention ward, will receive ward-based pharmacy care from the clinical pharmacy team, i.e. pharmacy practitioners and hospital pharmacists. This ward-based pharmacy intervention includes medication reconciliation in consultation with the patient at admission, daily medication review with face-to-face contact with the ward doctor, and patient counselling at discharge. Patients admitted in the control ward, will receive standard pharmaceutical care. The primary clinical outcome measure is the number of pADEs per 100 elective admissions. These pADEs will be measured by systematic patient record evaluation using a trigger tool. Patient records positive for a trigger will be evaluated on causality, severity and preventability by an independent expert panel. In addition, an economic evaluation will be performed from a societal perspective with the costs per preventable ADE as the primary economic outcome. Other outcomes of this study are: severity of pADEs, number of patients with pADEs per total number of admissions, direct (non-medical costs and indirect non-medical costs, extra costs per

  17. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center


    João Francisco Possari; Raquel Rapone Gaidzinski; Antônio Fernandes Costa Lima; Fernanda Maria Togeiro Fugulin; Tracy Heather Herdman


    Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology. Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing techn...

  18. Frequency of nursing diagnoses in a surgical clinic

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    Andreza Cavalcanti Vasconcelos


    Full Text Available Objective: to identify the frequency of Nursing Diagnoses of patients in a surgical clinic. Methods: cross-sectional study, performed with 99 patients in the postoperative of general surgery. Data were collected through a questionnaire validated according to domains of NANDA International, including physical and laboratory examination. Results: 17 nursing diagnoses were found; eight had a frequency higher than 50.0% (infection risk, impaired tissue integrity, constipation risk, anxiety, bleeding risk, acute pain, delayed surgical recovery, dysfunctional gastrointestinal motility. It was observed in all patients the Nursing Diagnostics: risk of infection, impaired tissue integrity and risk of constipation. Conclusion: the frequency of the most prevalent diagnosis is inserted in the domains safety/protection and nutrition, which determines the need to redirect nursing care, prioritizing the patient's clinic.



    Zulene Maria de Vasconcelos Varela; Enêde Andrade da Cruz


    We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's conc...

  20. Standardising fast-track surgical nursing care in Denmark

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    Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik


    guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN...

  1. [Surgical Center environment and its elements: implications for nursing care]. (United States)

    Silva, Denise Conceição; Alvim, Neide Aparecida Titonelli


    The purpose of this qualitative research was to characterize the elements that constitute the environment of the Surgical Center and to analyze its implications for dynamic of care and nursing care. Based on the Environmental Theory's principals. Participated twelve nurses from the Surgical Center of a College Hospital in Rio de Janeiro. Data were gathered through the creativity and sensitivity technique "Map-Speaker", semi-structered interviews and participant observation, and were analyzed by thematic categories. The results showed that care can happen directly and indirectly in favor of full client recovery, counting the environment that the integrate in purpose to maintain harmonic and balanced. The nurse interventions aim to maintain the environment in favorable conditions so that a higher standard of care can be promoted.

  2. Surgical procedure of Free Flap. Main nursing care

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    Manuel Molina López


    Full Text Available The free flap surgical technique is used to cover extensive skin loss areas and situations where no flap is available, or in axial zones. The great breackthrough in the field of reconstructive surgical techniques and the creation of new units where these complex techniques are used, means that the nursing staff who work in these hospital units are adquiring greater protagonism in caring for, and the subsequent success of this type of surgery in which the problems of collaboration in all the perioperative phases depend entirely on the nursing team.The collaborative nursing problems could be defined as real or potential health problems, where users need nursing staff to follow the treatment and control procedures prescribed by other professional, generally doctors, who control and are responsible for the final outcome.While planning collaborative objectives and activities it should be taken into account that the function of the nursing staff is twofold: on the one hand, the patient must be taken care of as prescribed by other professionals and, on the other hand, it should bring into play cognitive elements (knowledge and know-how and clinical judgment when executing these in controlling the patients evolution.In this article our intention is to give an interesting and comprehensive description of the free flap surgical technique, its pros and cons, and identify the principal collaborative problems which nursing will have to deal with in each one of the perioperative phases, the number and specific nature of such oblige nursing on many occasions, to update and/or acquire new skills.

  3. Personality predictors of surgical specialties choice among students of nursing

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    Dorota Turska


    Full Text Available Background Holland’s theory of congruence, according to which one’s career choice is an expression of personality traits common to a given profession, constitutes a theoretical background for this research. The construct of the Distinct Surgical Personality (DSP is an exemplification of the idea of a congruent match between one’s personality and the requirements of the medical environment. In previous studies the authors revised their proposition concerning the DSP concept to include not only personality traits but also preferred values. This paper aims at verifying the proposition that this concept may also refer to students of nursing who select surgical specialties. Participants and procedure The study involved 163 students of nursing at the Medical University of Lublin aged 21-29 (M = 23.19, SD = 3.67. Students who opted for surgical specialities constituted the criterion group (N = 98. The study employed the Polish versions of the Personality Inventory NEO-FFI and the Schwartz Value Survey. Results There are two significant predictors of surgical specialties choice in nursing: a higher-level value of openness to change and extraversion. The tested model, which incorporates personality traits and preferred values, has proved congruent with the data, and allows for the proper classification of 79% of students who declared surgical specialties. Conclusions The results suggest the existence of a specific personality of surgical nurses. While clear adaptability to the specific environment has been determined, there are differences with respect to the concept of DSP, referring to doctors, widely discussed in the literature. In both cases these constructs look different, and are dependent on various types of professional activities within the therapeutic team.

  4. Using case studies based on a nursing conceptual model to teach medical-surgical nursing. (United States)

    DeSanto-Madeya, Susan


    Nurse educators are continually challenged to develop teaching strategies that enhance students' critical thinking, problem-solving, and decision-making skills. Case studies are a creative learning strategy that fosters these skills through the use of in-depth descriptions of realistic clinical situations. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. In this column, the author discusses the use of case studies constructed within the context of the Roy adaptation model for a senior level medical-surgical nursing course.

  5. Liaison psychiatry on a burn unit. (United States)

    Billowitz, A; Friedson, W; Schubert, D S


    Psychiatric liaison activities and intervention on a burn unit are described. The authors review the psychiatrist's interventions with regard to unhealthy staff denial; educating staff about psychiatric issues; facilitating improved staff-patient communication; and helping nurses manage patients' inappropriate sexual behavior.

  6. Swedish Nurse Anesthetists' Experiences of the WHO Surgical Safety Checklist. (United States)

    Rönnberg, Linda; Nilsson, Ulrica


    The World Health Organization (WHO) surgical safety checklist aims to increase communication, build teamwork, and standardize routines in clinical practice in an effort to reduce complications and improve patient safety. The checklist has been implemented in surgical departments both nationally and internationally. The purpose of this study was to describe the registered nurse anesthetists' (RNA) experience with the use of the WHO surgical safety checklist. This was a cross-sectional study with a descriptive mixed methods design, involving nurse anesthetists from two different hospitals in Sweden. Data were collected using a study-specific questionnaire. Forty-seven RNAs answered the questionnaire. There was a statistically significant lower compliance to "Sign-in" compared with the other two parts, "Timeout" and "Sign-out." The RNAs expressed that the checklist was very important for anesthetic and perioperative care. They also expressed that by confirming their own area of expertise, they achieved an increased sense of being a team member. Thirty-four percent believed that the surgeon was responsible for the checklist, yet this was not the reality in clinical practice. Although 23% reported that they initiated use of the checklist, only one RNA believed that it was the responsibility of the RNA. Forty-three percent had received training about the checklist and its use. The WHO surgical checklist facilitates the nurse anesthetist's anesthetic and perioperative care. It allows the nurse anesthetist to better identify each patient's specific concerns and have an increased sense of being a team member. Copyright © 2015 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  7. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

    Hjort Jakobsen, Dorthe; Rud, Kirsten; Kehlet, Henrik;


    guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN......-track regimes in all surgical departments in Denmark. We recommend the workshop-practice method for implementation of new procedures in other areas of patient care.......Considerable variations in procedures, hospital stay and rates of recovery have been recorded within specific surgical procedures at Danish hospitals. The aim of this paper is to report on a national initiative in Denmark to improve the quality of surgical care by implementation of clinical...

  8. Nursing the critically ill surgical patient in Zambia. (United States)

    Carter, Chris; Snell, David


    Critical illness in the developing world is a substantial burden for individuals, families, communities and healthcare services. The management of these patients will depend on the resources available. Simple conditions such as a fractured leg or a strangulated hernia can have devastating effects on individuals, families and communities. The recent Lancet Commission on Global Surgery and the World Health Organization promise to strengthen emergency and essential care will increase the focus on surgical services within the developing world. This article provides an overview of nursing the critically ill surgical patient in Zambia, a lower middle income country (LMIC) in sub-Saharan Africa.


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    Zulene Maria de Vasconcelos Varela


    Full Text Available We objectified in this study with qualitative handling, to analyze the nurse's care in the people'sadmission in Surgical Center, starting from this professional's assistematic observation, accomplishing thisprocedure. In the chosen institution, the space for admission is common to all the elements of the team, to thepeople's flow and customers, that stay close one of the other ones, generating erroneous interpretations in thecommunication, hindering of that the efective care. The nurse's concern, in developing the admission, as ownprerogative and humanização was evident. The continuity of that procedure, it is hindered by the surgical team,for the patient's liberation, what is leaving out the care alternatives and generating dissatisfaction in theprofessionals.

  10. Multidisciplinary teams in consultation-liaison psychiatry: the Yale model. (United States)

    Leigh, H


    The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) role definition is necessary for specific disciplines, including the definition of overlapping and separate areas of expertise and practice. The multidisciplinary teams are coordinated by a psychiatric resident, who is supervised by an attending psychiatrist. The role of the resident is that of a diagnostician and coordinating physician. The social worker functions as an expert in family evaluation and treatment, and the nurse specialist functions as supportive therapist and liaison with the nursing staff. The structure of the division of consultation-liaison and ambulatory services at Yale is described and the advantages and disadvantages of the multidisciplinary team concept are discussed in comparison with other models of consultation-liaison psychiatry.

  11. Factors influencing nursing care in a surgical intensive care unit

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    Raj John


    Full Text Available Context: The total time spent in nursing care depends on the type of patient and the patient′s condition. We analysed factors that influenced the time spent in nursing a patient. Aims : To analyse the factors in a patient′s condition that influenced time spent in nursing a patient. Materials and Methods: This study was performed in the Surgical Intensive Care Unit of a tertiary referral centre, over a period of one month. The total time spent on a patient in nursing care for the first 24 hours of admission, was recorded. This time was divided into time for routine nursing care, time for interventions, time for monitoring and time for administering medications. Statistical analysis used: A backward stepwise linear regression analysis using the age, sex, diagnosis, type of admission and ventilatory status as variables, was done. Results: Patients admitted after elective surgery required less time (852.4 ± 234.1 minutes, than those admitted after either emergency surgery (1069.5 ± 187.3 minutes, or directly from the ward or the emergency room (1253.7 ± 42.1 minutes. Patients who were ventilated required more time (1111.5 ± 132.5 minutes, than those brought on a T-piece (732.2 ± 134.8 minutes or extubated (639.5 ± 155.6 minutes. The regression analysis showed that only the type of admission and the ventilatory status significantly affected the time. Conclusions : This study showed that the type of admission and ventilatory status significantly influenced the time spent in nursing care. This will help optimal utilization of nursing resources.

  12. Nursing outcomes content validation according to Nursing Outcomes Classification (NOC) for clinical, surgical and critical patients. (United States)

    Seganfredo, Deborah Hein; Almeida, Miriam de Abreu


    The objective of this study was to validate the Nursing Outcomes (NO) from the Nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients. The content validation of the REs was performed adapting the Fehring Model. The sample consisted of 12 expert nurses. The instrument for data collection consisted of the NOs proposed by NOC for the two NDs in the study, its definition and a five-point Likert scale. The data were analyzed using descriptive statistics. The NOs that obtained averages of 0.80 or higher were validated. The ND Risk for Infection was the most frequent, being validated eight (38.1%) of 21 NOs proposed by the NOC. The ND Self-Care Deficit: Bathing/Hygiene was the second most frequent and five (14.28%) out of 35 NOs were validated.

  13. Stress Generators for employees of surgical nursing center

    Directory of Open Access Journals (Sweden)

    João Paulo Belini Jacques


    Full Text Available The aim of this study was to identify factors that contribute to stress among workers in a surgical center. Descriptive qualitative research, performed in a surgery center of a university hospital in the state of Paraná. Data were collected between the months of August and September 2013, through semi-structured interviews with 15 members of the nursing team. Applied if the thematic content analysis resulting in three categories: work overload; lack of planning, human resources, materials and equipment and confinement. It is concluded that nursing professionals have experienced work related stress factors of objective nature such as work overload, lack of activity planning, human resources and materials and equipment and living in a closed environment.

  14. Undergraduate surgical nursing preparation and guided operating room experience: A quantitative analysis. (United States)

    Foran, Paula


    The aim of this research was to determine if guided operating theatre experience in the undergraduate nursing curricula enhanced surgical knowledge and understanding of nursing care provided outside this specialist area in the pre- and post-operative surgical wards. Using quantitative analyses, undergraduate nurses were knowledge tested on areas of pre- and post-operative surgical nursing in their final semester of study. As much learning occurs in nurses' first year of practice, participants were re-tested again after their Graduate Nurse Program/Preceptorship year. Participants' results were compared to the model of operating room education they had participated in to determine if there was a relationship between the type of theatre education they experienced (if any) and their knowledge of surgical ward nursing. Findings revealed undergraduates nurses receiving guided operating theatre experience had a 76% pass rate compared to 56% with non-guided or no experience (p < 0.001). Graduates with guided operating theatre experience as undergraduates or graduate nurses achieved a 100% pass rate compared to 53% with non-guided or no experience (p < 0.001). The research informs us that undergraduate nurses achieve greater learning about surgical ward nursing via guided operating room experience as opposed to surgical ward nursing experience alone.

  15. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

    Directory of Open Access Journals (Sweden)

    João Francisco Possari


    Full Text Available Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC, during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68% and Health System (22.12%, while the most frequent interventions were Surgical Care (30.62% and Documentation (11.47%, respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

  16. Using an age-specific nursing model to tailor care to the adolescent surgical patient. (United States)

    Monahan, Janean Carter


    A surgical experience can be stressful for any patient. When the patient is an adolescent, however, the surgical experience can create significant stress, which is related to normal adolescent development. Perioperative nursing care should address what adolescent patients perceive as stressful and should provide a safe environment so that a successful surgical outcome can be achieved. To accomplish this, a nursing model specific to perioperative nursing practice should be developed to guide nurses when providing care to adolescents. The Adolescent Perioperative System Stability Model based on the Neuman Systems Model provides a framework for defining scope of practice and organizing nursing care that is appropriate for the adolescent during a surgical experience. In addition to guiding nursing practice, this model provides direction and guidance for future studies of adolescents in the perioperative setting.

  17. Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients.

    Directory of Open Access Journals (Sweden)

    Liesbeth Hempenius

    Full Text Available The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a postoperative delirium on long term outcomes was examined.A three month follow-up was performed in participants of the Liaison Intervention in Frail Elderly study, a multicentre, prospective, randomized, controlled trial. Patients were randomized to standard treatment or a geriatric liaison intervention. The intervention consisted of a preoperative geriatric consultation, an individual treatment plan targeted at risk factors for delirium and daily visits by a geriatric nurse during the hospital stay. The long term outcomes included: mortality, rehospitalisation, Activities of Daily Living (ADL functioning, return to the independent pre-operative living situation, use of supportive care, cognitive functioning and health related quality of life.Data of 260 patients (intervention n = 127, Control n = 133 were analysed. There were no differences between the intervention group and usual-care group for any of the outcomes three months after discharge. The presence of postoperative delirium was associated with: an increased risk of decline in ADL functioning (OR: 2.65, 95% CI: 1.02-6.88, an increased use of supportive assistance (OR: 2.45, 95% CI: 1.02-5.87 and a decreased chance to return to the independent preoperative living situation (OR: 0.18, 95% CI: 0.07-0.49.A hospital-based geriatric liaison intervention for the prevention of postoperative delirium in frail elderly cancer patients undergoing elective surgery for a solid tumour did not improve outcomes 3 months after discharge from hospital. The negative effect of a postoperative delirium on late outcome was confirmed.Nederlands Trial Register, Trial ID NTR 823.

  18. Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients (United States)

    Hempenius, Liesbeth; Slaets, Joris P. J.; van Asselt, Dieneke; de Bock, Truuske H.; Wiggers, Theo; van Leeuwen, Barbara L.


    Background The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a postoperative delirium on long term outcomes was examined. Methods A three month follow-up was performed in participants of the Liaison Intervention in Frail Elderly study, a multicentre, prospective, randomized, controlled trial. Patients were randomized to standard treatment or a geriatric liaison intervention. The intervention consisted of a preoperative geriatric consultation, an individual treatment plan targeted at risk factors for delirium and daily visits by a geriatric nurse during the hospital stay. The long term outcomes included: mortality, rehospitalisation, Activities of Daily Living (ADL) functioning, return to the independent pre-operative living situation, use of supportive care, cognitive functioning and health related quality of life. Results Data of 260 patients (intervention n = 127, Control n = 133) were analysed. There were no differences between the intervention group and usual-care group for any of the outcomes three months after discharge. The presence of postoperative delirium was associated with: an increased risk of decline in ADL functioning (OR: 2.65, 95% CI: 1.02–6.88), an increased use of supportive assistance (OR: 2.45, 95% CI: 1.02–5.87) and a decreased chance to return to the independent preoperative living situation (OR: 0.18, 95% CI: 0.07–0.49). Conclusions A hospital-based geriatric liaison intervention for the prevention of postoperative delirium in frail elderly cancer patients undergoing elective surgery for a solid tumour did not improve outcomes 3 months after discharge from hospital. The negative effect of a postoperative delirium on late outcome was confirmed. Trial Registration Nederlands Trial Register, Trial ID NTR 823

  19. [The leadership style exercised by nurses in surgical wards focuses on situational leadership]. (United States)

    Galvão, C M; Trevizan, M A; Sawada, N O; Fávero, N


    The present study was oriented to the leadership theme focussing nurses inside surgical ward unities. As a theoretical reference, the authors used the Situational Leadership Model proposed by Hersey and Blanchard. This study aimed at analysing the correspondence between the opinions of nurses and auxiliary personnel about the leadership style exerted by nurses in the surgical ward unit regarding the six categories of the assistance activity that were studied. Authors noticed that nurses, from the two studied hospitals, adopted the directive leadership styles (E2/selling or E1/telling) with the auxiliary personnel.

  20. Surgical glove perforation among nurses in ophthalmic surgery: a case-control study. (United States)

    Shek, Karen Mei-Yan; Chau, Janita Pak-Chun


    Many of the ophthalmic surgical instruments are extremely fine and sharp. Due to the dim light environment required for ophthalmic surgical procedures, the passing of sharp instruments among surgeons and scrub nurses also poses a risk for glove perforations. A case-control study was performed to determine the number and site of perforations in the surgical gloves used by a group of scrub nurses during ophthalmic surgery. All six nurses working in an eye and refractive surgery centre in Hong Kong participated in the study. A total of 100 (50 pairs) used surgical gloves were collected following 50 ophthalmic surgeries. Fifty pairs of new surgical gloves were also collected. Every collected surgical glove underwent the water leak test. The surgical procedure perforation rate was 8%, and none of the perforations were detected by the scrub nurses. No perforations were found in any unused gloves. The findings indicate that glove perforations for scrub nurses during ophthalmic surgery do occur and mostly go unnoticed. Future studies should continue to explore factors contributing to surgical glove perforation.

  1. Application and evaluation of improved surgical aseptic technique curriculum in specialty nurse training in Henan Province

    Directory of Open Access Journals (Sweden)

    Bing Bai


    Conclusion: Novel surgical aseptic technique and application in the curriculum design of training for OR nurses should be developed to enhance their mastery of theoretical and practical skills and to modify their behaviors.

  2. Surgical nurses' perceptions of ethical dilemmas, moral distress and quality of care. (United States)

    DeKeyser Ganz, Freda; Berkovitz, Keren


    To describe surgical nurses' perceived levels of ethical dilemmas, moral distress and perceived quality of care and the associations among them. Nurses are committed to providing quality care. They can experience ethical dilemmas and moral distress while providing patient care. Little research has focused on the effect of moral distress or ethical dilemmas on perceived quality of care. Descriptive, cross-sectional study. After administration and institutional Research Ethics Committee approval, a researcher requested 119 surgical nurses working in two Israeli hospitals to fill out three questionnaires (personal background characteristics; Ethical Dilemmas in Nursing and Quality of Nursing Care). Data collection took place from August 2007 to January 2008. Participant mean age was 39·7 years. The sample consisted mostly of women, Jewish and married staff nurses. The majority of nurses reported low to moderate levels of ethical dilemma frequency but intermediate levels of ethical dilemma intensity. Frequency of ethical dilemmas was negatively correlated with level of nursing skill, meeting patient's needs and total quality of care. No important correlations were found between intensity of ethical dilemmas and quality of care. Levels of ethical dilemma frequency were higher than intensity. Nurses tended to be satisfied with their level of quality of care. Increased frequency of ethical dilemmas was associated with some aspects of perceived quality of care. Quality of care is related to ethical dilemmas and moral distress among surgical nurses. Therefore, efforts should be made to decrease the frequency of these feelings to improve the quality of patient care. © 2011 Blackwell Publishing Ltd.

  3. [The Aachen liaison model (United States)

    Petzold, Ernst Richard; Flatten, Guido; Wälte, Dieter; Kröger, Friedebert


    The encounter between physician and patient is impregnated by contemporary theories of disease. From the point of view of psychotherapeutic medicine, the physician-patient-relationship fuses normative and relationship-oriented thinking. The disease as the object of treatment is being supplemented by the care for the patient as a subject. The participating observation and the respective reflection are professional tools of the medical carer. The realisation of this point of view in clinical practice is exemplified using the Aachen Psychosomatic model of Liaison. The importance of this model for interdisciplinary cooperation is being discussed.

  4. Stress-related Psychological Disorders Among Surgical Care Nurses in Latvia


    Kristaps Circenis; Liana Deklava


    Background: The subject of stress related psychological disorders is considered to be one of the mostcritical problems in the 21st century. Latvia’s social-economic situation is stressful and a lot of nurses stillneed to work more than one shift. There are no complete studies about surgical care nurses and operatingroom nurses burnout, depression, anxiety and compassion fatigue situation in Latvia.Aim and Objectives: Research aim was to find out burnout, depression, compassion fatigue and anx...

  5. Reorganizing nursing work on surgical units: a time-and-motion study. (United States)

    Desjardins, France; Cardinal, Linda; Belzile, Eric; McCusker, Jane


    A time-and-motion study was conducted in response to perceptions that the surgical nursing staff at a Montreal hospital was spending an excessive amount of time on non-nursing care. A sample of 30 nurse shifts was observed by trained observers who timed nurses' activities for their entire working shift using a hand-held Personal Digital Assistant. Activities were grouped into four main categories: direct patient care, indirect patient care, non-nursing and personal activities. Break and meal times were excluded from the denominator of total worked hours. A total of 201 working hours were observed, an average of 6 hours, 42 minutes per nurse shift. The mean proportions of each nurse shift spent on the main activity categories were: direct care 32.8%, indirect care 55.7%, non-nursing tasks 9.0% and personal 2.5%. Three activities (communication among health professionals, medication verification/preparation and documentation) comprised 78.9% of indirect care time. Greater time on indirect care was associated with work on night shifts and on the short-stay surgical unit. Subsequent work reorganization focused on reducing time spent on communication and medications. The authors conclude that time-and-motion studies are a useful method of monitoring appropriate use of nursing staff, and may provide results that assist in restructuring nursing tasks.

  6. [Standardization of activities in an oncology surgical center according to nursing intervention classification]. (United States)

    Possari, João Francisco; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Lima, Antônio Fernandes Costa; Kurcgant, Paulina


    This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique. The list of interventions was validated by nursing professionals in workshops. Forty-nine interventions were identified: 34 of direct care and 15 of indirect care. Identifying nursing interventions facilitates measuring the time spent in their execution, which is a fundamental variable in the quantification and qualification of nurses' workloads.

  7. Operating room nurses' positioning of anesthetized surgical patients

    DEFF Research Database (Denmark)

    Sørensen, Erik Elgaard; Kusk, Kathrine Hoffmann; Grønkjaer, Mette


    AIMS AND OBJECTIVES: To describe the incidence of problems associated with the positioning of anaesthetised surgical patients. BACKGROUND: The positioning of the anaesthetised surgical patient is a complex task. The interdisciplinary nature with several professional groups in a surgical team may ...... of positioning equipment allowing individual consideration of the patient. Further research is required on positioning equipment, optimisation of continuity and the establishment of permanent surgical teams....

  8. Relationships among NANDA-I diagnoses, nursing outcomes classification, and nursing interventions classification by nursing students for patients in medical-surgical units in Korea. (United States)

    Noh, Hyun Kyung; Lee, Eunjoo


    The purpose of this study was to identify NANDA-I, Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC; NNN) linkages used by Korean nursing students during their clinical practice in medical-surgical units. A comparative descriptive research design was used to measure the effects of nursing interventions from 153 nursing students in South Korea. Nursing students selected NNN using a Web-based nursing process documentation system. Data were analyzed by paired t-test. Eighty-two NANDA-I diagnoses, 116 NOC outcomes, and 163 NIC interventions were identified. Statistically significant differences in patients' preintervention and postintervention outcome scores were observed. By determining patient outcomes linked to interventions and how the degree of outcomes change after interventions, the effectiveness of the interventions can be evaluated. © 2014 NANDA International, Inc.

  9. Factors determining the patients' care intensity for surgeons and surgical nurses: a conjoint analysis. (United States)

    van Oostveen, Catharina J; Vermeulen, Hester; Nieveen van Dijkum, Els J M; Gouma, Dirk J; Ubbink, Dirk T


    Surgeons and nurses sometimes perceive a high workload on the surgical wards, which may influence admission decisions and staffing policy. This study aimed to explore the relative contribution of various patient and care characteristics to the perceived patients' care intensity and whether differences exist in the perception of surgeons and nurses. We invited surgeons and surgical nurses in the Netherlands for a conjoint analysis study through internet and e-mail invitations. They rated 20 virtual clinical scenarios regarding patient care intensity on a 10-point Likert scale. The scenarios described patients with 5 different surgical conditions: cholelithiasis, a colon tumor, a pancreas tumor, critical leg ischemia, and an unstable vertebral fracture. Each scenario presented a mix of 13 different attributes, referring to the patients' condition, physical symptoms, and admission and discharge circumstances. A total of 82 surgeons and 146 surgical nurses completed the questionnaire, resulting in 4560 rated scenarios, 912 per condition. For surgeons, 6 out of the 13 attributes contributed significantly to care intensity: age, polypharmacy, medical diagnosis, complication level, ICU-stay and ASA-classification, but not multidisciplinary care. For nurses, the same six attributes contributed significantly, but also BMI, nutrition status, admission type, patient dependency, anxiety or delirium during hospitalization, and discharge type. Both professionals ranked 'complication level' as having the highest impact. The differences between surgeons and nurses on attributes contributing to care intensity may be explained by differences in professional roles and daily work activities. Surgeons have a medical background, including technical aspects of their work and primary focus on patient curation. However, nurses are focused on direct patient care, i.e., checking vital functions, stimulating self-care and providing woundcare. Surgeons and nurses differ in their perception of

  10. Surgical patients' and nurses' opinions and expectations about privacy in care. (United States)

    Akyüz, Elif; Erdemir, Firdevs


    The purpose of this study was to determine the opinions and expectations of patients and nurses about privacy during a hospital admission for surgery. The study explored what enables and maintains privacy from the perspective of Turkish surgical patients and nurses. The study included 102 adult patients having surgery and 47 nurses caring for them. Data were collected via semistructured questionnaire by face-to-face interviews. The results showed that patients were mostly satisfied by the respect shown to their privacy by the nurses but were less confident of the confidentiality of their personal data. It was found that patients have expectations regarding nursing approaches and attitudes about acknowledging and respecting patient autonomy and confidentiality. It is remarkable that while nurses focused on the physical dimension of privacy, patients focused on informational and psychosocial dimensions of privacy, as well as its physical dimension.

  11. Patient satisfaction with nursing care in a colorectal surgical population. (United States)

    Lumby, J; England, K


    This paper describes one arm of a much larger, multi-site study whose hypothesis was that evidence-based nursing practice is more effective than routine nursing care in improving patient outcomes and health gain. This arm of the study investigated patient satisfaction as an outcome measure for those patients undergoing colorectal surgery. The study's relevance for nurses is in the potential feedback for reviewing nursing practice and health care delivery. Patient satisfaction with nursing care was measured through a validated questionnaire, the SERVQUAL, followed by interviews with a percentage of the study population. The results of this arm of the study confirm the importance of measuring patient satisfaction through a triangulated method which investigates thoroughly, providing feedback for continuous quality improvement. The in-depth interviews provided greater insight into the results of the questionnaire, enabling clear feedback to nursing staff at the different sites of the study. Results of the questionnaire revealed age, sex and education levels of patients as major influences on individual perceptions of nursing care. Patients whose surgery resulted in stomas were also less satisfied with health-care delivery.

  12. Healthcare information technology and medical-surgical nurses: the emergence of a new care partnership. (United States)

    Moore, An'Nita; Fisher, Kathleen


    Healthcare information technology in US hospitals and ambulatory care centers continues to expand, and nurses are expected to effectively and efficiently utilize this technology. Researchers suggest that clinical information systems have expanded the realm of nursing to integrate technology as an element as important in nursing practice as the patient or population being served. This study sought to explore how medical surgical nurses make use of healthcare information technology in their current clinical practice and to examine the influence of healthcare information technology on nurses' clinical decision making. A total of eight medical surgical nurses participated in the study, four novice and four experienced. A conventional content analysis was utilized that allowed for a thematic interpretation of participant data. Five themes emerged: (1) healthcare information technology as a care coordination partner, (2) healthcare information technology as a change agent in the care delivery environment, (3) healthcare information technology-unable to meet all the needs, of all the people, all the time, (4) curiosity about healthcare information technology-what other bells and whistles exist, and (5) Big Brother is watching. The results of this study indicate that a new care partnership has emerged as the provision of nursing care is no longer supplied by a single practitioner but rather by a paired team, consisting of nurses and technology, working collaboratively in an interdependent relationship to achieve established goals.

  13. Work-family conflict and neck and back pain in surgical nurses. (United States)

    Baur, Heiner; Grebner, Simone; Blasimann, Angela; Hirschmüller, Anja; Kubosch, Eva Johanna; Elfering, Achim


    Surgical nurses' work is physically and mentally demanding, possibly leading to work-family conflict (WFC). The current study tests WFC to be a risk factor for neck and lower back pain (LBP). Job influence and social support are tested as resources that could buffer the detrimental impact of WFC. Forty-eight surgical nurses from two university hospitals in Germany and Switzerland were recruited. WFC was assessed with the Work-Family Conflict Scale. Job influence and social support were assessed with the Copenhagen Psychosocial Questionnaire, and back pain was assessed with the North American Spine Society Instrument. Multiple linear regression analyses confirmed WFC as a significant predictor of cervical pain (β = 0.45, p back pain in surgery nurses. Work-life interventions may have the potential to reduce WFC in surgery nurses.

  14. Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice. (United States)

    Kvarnström, Susanne; Jangland, Eva; Abrandt Dahlgren, Madeleine


    The first nurse practitioners in surgical care were introduced into Swedish surgical wards in 2014. Internationally, organisations that have adopted nurse practitioners into care teams are reported to have maintained or improved the quality of care. However, close qualitative descriptions of teamwork practice may add to existing knowledge of interprofessional collaboration when introducing nurse practitioners into new clinical areas. The aim was to report on an empirical study describing how interprofessional teamwork practice was enacted by nurse practitioners when introduced into surgical ward teams. The study had a qualitative, ethnographic research design, drawing on a sociomaterial conceptual framework. The study was based on 170 hours of ward-based participant observations of interprofessional teamwork practice that included nurse practitioners. Data were gathered from 2014 to 2015 across four surgical sites in Sweden, including 60 interprofessional rounds. The data were analysed with an iterative reflexive procedure involving inductive and theory-led approaches. The study was approved by a Swedish regional ethics committee (Ref. No.: 2014/229-31). The interprofessional teamwork practice enacted by the nurse practitioners that emerged from the analysis comprised a combination of the following characteristic role components: clinical leader, bridging team colleague and ever-present tutor. These role components were enacted at all the sites and were prominent during interprofessional teamwork practice. The participant nurse practitioners utilised the interprofessional teamwork practice arrangements to enact a role that may be described in terms of a quality guarantee, thereby contributing to the overall quality and care flow offered by the entire surgical ward team. © 2017 Nordic College of Caring Science.

  15. Advancing medical-surgical nursing practice: improving management of the changing patient condition. (United States)

    Monroe, Heidi; Plylar, Peggy; Krugman, Mary


    Higher patient acuities and more novice nurses on medical-surgical units have Educators focused on achieving positive outcomes with changes in patient condition. An educational program was developed to enhance nurses' knowledge, skill, and confidence in assessing hemodynamics, recognizing early signs of instability, and administering vasoactive medications. The program was successful with significant knowledge improvement as well as an increased use of the Medical Emergency Team while maintaining a low number of code calls.

  16. Scientific production on surgical nursing: analysis of the quantitative studies carried out between 2005 and 2009



    This study aimed to analyze the characteristics of quantitative studies of nursing scientific publication in the surgical area. Research with quantitative approach carried out in the Virtual Healthcare Library with articles of quantitative nature, published from 2005 to 2009, in journals classified as A1, A2 and B1 by the Capes Nursing Qualis system 2008, full-text available on-line and in Portuguese. 28 articles were analyzed and it was detected that most of them are descriptive, exploratory...

  17. Body, stress and nursing: ethnography of an Intensive Care and Surgical Center


    Martins, Maria das Graças Teles [UNIFESP; Castro, Odilon; Pereira,Pedro Paulo Gomes


    This text seeks to reflect on the concepts of stress among nurses that work in the Surgical and Intensive Care Centers of a teaching hospital in the State of Paraíba. Qualitative ethnographic research allowed us to perceive that when talking about stress, these professionals mentioned their bodies and bodily manifestations. The research undertaken allowed us to understand the intimate relationships between the body, stress and nursing.

  18. Existential issues among nurses in surgical care--a hermeneutical study of critical incidents. (United States)

    Udo, Camilla; Danielson, Ella; Melin-Johansson, Christina


    To report a qualitative study conducted to gain a deeper understanding of surgical nurses' experiences of existential care situations. Background.  Existential issues are common for all humans irrespective of culture or religion and constitute man's ultimate concerns of life. Nurses often lack the strategies to deal with patients' existential issues even if they are aware of them. This is a qualitative study where critical incidents were collected and analysed hermeneutically. During June 2010, ten surgical nurses presented 41 critical incidents, which were collected for the study. The nurses were first asked to describe existential care incidents in writing, including their own emotions, thoughts, and reactions. After 1-2 weeks, individual interviews were conducted with the same nurses, in which they reflected on their written incidents. A hermeneutic analysis was used. The majority of incidents concerned nurses' experiences of caring for patients' dying of cancer. In the analysis, three themes were identified, emphasizing the impact of integration between nurses' personal self and professional role in existential care situations: inner dialogues for meaningful caring, searching for the right path in caring, and barriers in accompanying patients beyond medical care. Findings are interpreted and discussed in the framework of Buber's philosophy of the relationships I-Thou and I-It, emphasizing nurses' different relationships with patients during the process of caring. Some nurses integrate their personal self into caring whereas others do not. The most important finding and new knowledge are that some nurses felt insecure and were caught somewhere in between I-Thou and I-It. © 2012 Blackwell Publishing Ltd.

  19. [Consultation-liaison psychiatry: strategy for care, opportunity for training]. (United States)

    Gogliani, Andrea; Canuto, Alessandra; Zeppegno, Patrizia; Torre, Eugenio


    The liaison psychiatry defines itself as way to comprehend the psychological aspects in any situation of care, and in particular in the context of somatic care. The identification of the psychic processes, which can influence the diagnosis and the outcome of a somatic disease, is essential to adequately and globally take care of the individual. At the same time, training in the Help relationship allows to identify the difficulties of nursing, which is very often source of exhaustion and burn-out.

  20. [The perception of surgical nursing caregivers regarding care given to patients with mental disorder]. (United States)

    Lacchini, Annie Jeanninne Bisso; Noal, Helena Carolina; Padoin, Stela Maris de Mello; Terra, Marlene Gomes


    The following study aimed to understand the meanings on the discourse of a Nursing Surgical team regarding the care given to patients with mental disorders submitted to surgical procedures. For such comprehension, a theoretical-philosophical referential by Maurice Merleau-Ponty has been examined. Concerning a methodological approach Paul Ricouer's hermeneutics has been used. Eight nursing caregivers from a public hospital in southern Brazil were interviewed from August to September 2008. The results showed the necessity of stimulating nursing caregivers in the reflective process in acting, thinking, and observing care given to patients with mental disorder; as well as to offer emotional support for them. The caregivers displayed the necessity of understanding the human being receiving care in order to be able to give thorough care as a being-in-the-world.

  1. Scientific production on surgical nursing: analysis of the quantitative studies carried out between 2005 and 2009

    Directory of Open Access Journals (Sweden)

    Keila Maria de Azevedo Ponte


    Full Text Available This study aimed to analyze the characteristics of quantitative studies of nursing scientific publication in the surgical area. Research with quantitative approach carried out in the Virtual Healthcare Library with articles of quantitative nature, published from 2005 to 2009, in journals classified as A1, A2 and B1 by the Capes Nursing Qualis system 2008, full-text available on-line and in Portuguese. 28 articles were analyzed and it was detected that most of them are descriptive, exploratory, cross-sectional and retrospective. The most adopted instrument of data collection was the form; as disposition of data analysis, the use of tables and of simple and relative frequency; as database, the Excel program; and as statistical tests, the chi-square and Fisher. Researches with quantitative approach in surgical nursing area have been published in journals of national impact with the main characteristics of this type of approach.

  2. Cardio-thoracic surgical patients' experience on bedside nursing handovers: Findings from a qualitative study. (United States)

    Lupieri, Giulia; Creatti, Chiara; Palese, Alvisa


    The purpose of this study was to describe the experiences of postoperative cardio-thoracic surgical patients experiencing nursing bedside handover. A descriptive qualitative approach was undertaken. A purposeful sampling technique was adopted, including 14 patients who went through cardio-thoracic surgery and witnessed at least two bedside handovers. The study was performed in a Cardio-thoracic ICU localised in a Joint Commission International accredited Academic Hospital in north-eastern Italy from August to November 2014. The experience of patients participating at the bedside handover is based on four main themes: (1) 'discovering a new nursing identity', (2) 'being apparently engaged in a bedside handover', (3) 'experiencing the paradox of confidentiality' and (4) 'having the situation under control'. With the handover performed at the bedside in a postoperative setting, two interconnected potential effects may be achieved with regard to patients, nurses and the nursing profession. Nurses have a great opportunity to express their closeness to patients and to promote awareness of the important growth that nursing has achieved over the years as a profession and discipline. Therefore, patients may better perceive nursing competence and feel safer during the postoperative care pathway. They can appreciate nurses' humanity in caring and trust their competence and professionalism.

  3. Management role of surgical center nurses: perceptions by means of images

    Directory of Open Access Journals (Sweden)

    Camila Dalcól


    Full Text Available The objective of this study was to analyze the perceptions of surgical center nurses concerning their work environment and management role. Qualitative study conducted with 10 nurse supervisors in public and private hospitals, by means of individual projective interviews, from February to August 2013. The interviews were transcribed and submitted to content analysis. The results allowed analysis of the perceptions of nurses by means of images, such as: strategist, chameleon, conductor, flagship, owl head, and superhero. Regarding the environment, they described images associated with purposes and physical characteristics of the unit, highlighting it as the heart of the hospital. Regarding the management role, the images were associated with leadership, decision-making, adaptation, flexibility, teamwork and supervision. The results showed that nurses had a proactive but sometimes idealized view of their performance. It is of utmost importance that they reflect on their role and try to give their performance higher visibility.

  4. [Knowledge of hypothermia in nursing professionals of surgical center]. (United States)

    Mendoza, Isabel Yovana Quispe; Peniche, Aparecida de Cássia Giani; Püschel, Vilanice Alves de Araujo


    The objective was to identify the difference in knowledge about hypothermia in nursing assistant after an educational intervention. The conceptual basis of education is based on the prospect of meaningful learning allied to the construction of the conceptual map and the case study. Data were collected through the questionnaire validated by experts. The average knowledge after the educational intervention was (-3.49), however, there was no significant difference in knowledge as related to sociodemographic variables studied. We conclude that the educational intervention was satisfactory in that new information was anchored modified and expanded the cognitive structure of study subjects.

  5. Customizing for clients: developing a library liaison program from need to plan. (United States)

    Tennant, M R; Butson, L C; Rezeau, M E; Tucker, P J; Boyle, M E; Clayton, G


    Building on the experiences of librarian representatives to curriculum committees in the colleges of dentistry, medicine, and nursing, the Health Science Center Libraries (HSCL) Strategic Plan recommended the formation of a Library Liaison Work Group to create a formal Library Liaison Program to serve the six Health Science Center (HSC) colleges and several affiliated centers and institutes. The work group's charge was to define the purpose and scope of the program, identify models of best practice, and recommend activities for liaisons. The work group gathered background information, performed an environmental scan, and developed a philosophy statement, a program of liaison activities focusing on seven primary areas, and a forum for liaison communication. Hallmarks of the plan included intensive subject specialization (beyond collection development), extensive communication with users, and personal information services. Specialization was expected to promote competence, communication, confidence, comfort, and customization. Development of the program required close coordination with other strategic plan implementation teams, including teams for collection development, education, and marketing. This paper discusses the HSCL's planning process and the resulting Library Liaison Program. Although focusing on an academic health center, the planning process and liaison model may be applied to any library serving diverse, subject-specific user populations.

  6. The role of rewards and demands in burnout among surgical nurses. (United States)

    Basińska, Beata A; Wilczek-Rużyczka, Ewa


    Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees' development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence) in burnout among surgical nurses. The study was conducted in 2009 and 2010 with 263 nurses who worked in surgical wards and clinics in hospitals in Southern Poland. The hypotheses were tested by the use of measures of demands and rewards (Effort-Reward Imbalance Questionnaire by Siegrist) and burnout syndrome (Maslach Burnout Inventory). A cross-sectional, correlational study design was applied. Nurses experienced the largest deficiencies in salary and prestige. Exhaustion was explained by stronger demands and lack of respect (large effect). Depersonalization was explained by stronger demands, lack of respect and greater job security (medium effect). Reduced personal achievement was explained by more demands and greater job security (small effect). Excessive demands and lack of esteem are key reasons for burnout among surgical nurses. Job security can increase burnout when too many resources are invested and career opportunities do not appear. These results may help to improve human resource management in the healthcare sector.

  7. The role of rewards and demands in burnout among surgical nurses

    Directory of Open Access Journals (Sweden)

    Beata A. Basińska


    Full Text Available Objective: Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees' development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence in burnout among surgical nurses. Materials and Methods: The study was conducted in 2009 and 2010 with 263 nurses who worked in surgical wards and clinics in hospitals in Southern Poland. The hypotheses were tested by the use of measures of demands and rewards (Effort-Reward Imbalance Questionnaire by Siegrist and burnout syndrome (Maslach Burnout Inventory. A cross-sectional, correlational study design was applied. Results: Nurses experienced the largest deficiencies in salary and prestige. Exhaustion was explained by stronger demands and lack of respect (large effect. Depersonalization was explained by stronger demands, lack of respect and greater job security (medium effect. Reduced personal achievement was explained by more demands and greater job security (small effect. Conclusions: Excessive demands and lack of esteem are key reasons for burnout among surgical nurses. Job security can increase burnout when too many resources are invested and career opportunities do not appear. These results may help to improve human resource management in the healthcare sector.

  8. Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals. (United States)

    Trzpuc, Stefnee J; Martin, Caren S


    Additional research is needed to explore how the design of urban, medical-surgical nursing units influences communication patterns, perceptions of social support, and overall job satisfaction for nurses. Space syntax theory has typically been used to study communication in office environments; more recently, it has been applied to the study of healthcare environments. The purpose of this study was to explore the applicability of space syntax theory as a theoretical framework for studying nurses' communication in medical-surgical nursing units in urban hospitals. The nursing profession is rapidly changing, and nurses' work is psychologically and physically intense. At the same time, nurses are responsible for patient safety, optimal care delivery, and patient outcomes (Bureau of Labor Statistics, 2009; Clarke, 2007; Clarke & Donaldson, 2008; Institute of Medicine, 2000; Institute of Medicine, 2004). Nurses are central to the delivery of care and act as a conduit for communication among members of the patient care team. Some of the design characteristics that create a more appealing environment for patients, such as views of nature and single-patient rooms, may not be fully understood as they relate to nurses' tasks and responsibilities, and they could be detrimental to nursing communication. This study analyzed three medical-surgical nursing unit floor plans using two constructs of space syntax theory, and it verified analysis through three semi-structured interviews with end users. The use of space syntax theory for analyzing medical-surgical nursing unit floor plans is complex. Findings indicated that nurses' perceptions of two constructs of space syntax theory, visibility and accessibility, did not consistently match the anticipated benefits of the floor plan designs. Understanding how and when nurses communicate with each other could help designers of healthcare spaces create more effective environments that support nurses' work and personal health and welfare

  9. [NIC as a tool for assessing competences of nursing students in clinical placement at surgical units]. (United States)

    Celma Vicente, Matilde; Ajuria-Imaz, Eloisa; Lopez-Morales, Manuel; Fernandez-Marín, Pilar; Menor-Castro, Alicia; Cano-Caballero Galvez, Maria Dolores


    This paper shows the utility of a NIC standardized language to assess the extent of nursing student skills at Practicum in surgical units To identify the nursing interventions classification (NIC) that students can learn to perform in surgical units. To determine the level of difficulty in learning interventions, depending on which week of rotation in clinical placement the student is. Qualitative study using Delphi consensus technique, involving nurses with teaching experience who work in hospital surgical units, where students undertake the Practicum. The results were triangulated through a questionnaire to tutors about the degree of conformity. A consensus was reached about the interventions that students can achieve in surgical units and the frequency in which they can be performed. The level of difficulty of each intervention, and the amount of weeks of practice that students need to reach the expected level of competence was also determined. The results should enable us to design better rotations matched to student needs. Knowing the frequency of each intervention that is performed in each unit determines the chances of learning it, as well as the indicators for its assessment. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  10. [An analysis of cost and profit of a nursing unit using performance-based costing: case of a general surgical ward in a general hospital]. (United States)

    Lim, Ji Young


    The aim of this study was to analyze net income of a surgical nursing ward in a general hospital. Data collection and analysis was conducted using a performance-based costing and activity-based costing method. Direct nursing activities in the surgical ward were 68, indirect nursing activities were 10. The total cost volume of the surgical ward was calculated at won 119,913,334.5. The cost volume of the allocated medical department was won 91,588,200.3, and the ward consumed cost was won 28,325,134.2. The revenue of the surgical nursing ward was won 33,269,925.0. The expense of a surgical nursing ward was 28,325,134.2. Therefore, the net income of a surgical nursing ward was won 4,944,790.8. We suggest that to develop a more refined nursing cost calculation model, a standard nursing cost calculation system needs to be developed.

  11. 'Being the bridge and the beacon': a qualitative study of the characteristics and functions of the liaison role in child and family health services in Australia. (United States)

    Olley, Hannah; Psaila, Kim; Fowler, Cathrine; Kruske, Sue; Homer, Caroline; Schmied, Virginia


    This article explores the characteristics and functions of the liaison role in child and family health services in Australia. Liaison roles are increasingly being used to improve communication between health services and professionals and to facilitate access to support for individuals and families in need. Nurses are commonly, although not always, the professionals who undertake these roles. Research on the role and outcomes of liaison positions in child and family health services is limited in Australia and internationally. A qualitative interpretive design informed this study. Interviews and focus groups were conducted with 40 liaison and other health professionals, primarily nurses, working with families with newborn and young children in two Australian States. Data were analysed thematically. Three major themes were identified reflecting the importance of defining the role and tasks which included building bridges between services and professionals, supporting families during transition between services and supporting clinicians. Several facilitators and barriers were identified, including concerns about sustainability of the roles. Professionals working in a liaison role in child and family health services emphasise that these positions have the potential to link services and professionals, thereby providing more effective care pathways for children and families especially for those with complex and multiple vulnerabilities. While a few children and family health services in Australia provide liaison services, the extent of liaison support and the outcomes for families in Australia is unknown. Nurses working with children and families are the most likely health professionals to undertake a liaison role. In many nursing contexts, liaison roles are relatively new and those in the role have the responsibility to define the key purpose of their role. Liaison roles are multifaceted requiring the nurse to have excellent communication and negotiation skills to

  12. [Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia]. (United States)

    Sousa, Cristina Silva; Cunha, Ana Lucia Mirancos


    The objective of this study was to assess the knowledge of the nursing professionals in a surgical center about malignant hyperther- mia.This is a descriptive exploratory study on malignant hyperthermia conducted with mid- and high-level nursing professionals in the surgical center of an institution located in the city of São Paulo, where the research was conducted between August and September 2013. Analysis of the data was descriptive and the average of the correct answers was compared using Student's t-test Among the 96 participants, the two items in which at least 70% of the team showed knowledge were: the definition of malignant hyperthermia and the professionals involved in the health care provided. With respect to all test items, 70% of nurses answered 50% correctly. The same percentage of mid-level professionals answered only 20% correctly.There was no statistically significant difference between the professional categories. This study revealed insufficient knowledge on the part of the nursing team about malignant hyperthermia.

  13. Quality of psychiatric care in the general hospital: referrer perceptions of an inpatient liaison psychiatry service. (United States)

    Solomons, Luke C; Thachil, Ajoy; Burgess, Caroline; Hopper, Adrian; Glen-Day, Vicky; Ranjith, Gopinath; Hodgkiss, Andrew


    To explore the experience of senior staff on acute medical wards using an established inpatient liaison psychiatry service and obtain their views on clinically relevant performance measures. Semistructured face-to-face interviews with consultants and senior nurses were taped, transcribed and analyzed manually using the framework method of analysis. Twenty-five referrers were interviewed. Four key themes were identified - benefits of the liaison service, potential areas of improvement, indices of service performance such as speed and quality of response and expanded substance misuse service. Respondents felt the liaison service benefited patients, staff and service delivery in the general hospital. Medical consultants wanted stepped management plans devised by consultant liaison psychiatrists. Senior nurses, who perceived themselves as frontline crisis managers, valued on-the-spot input on patient management. Consultants and senior nurses differed in their expectations of liaison psychiatry. Referrers valued speed of response and regarded time from referral to definitive management plan as a key performance indicator for benchmarking services. Copyright © 2011 Elsevier Inc. All rights reserved.

  14. Police liaison and section 136: comparison of two different approaches. (United States)

    Jenkins, Oliver; Dye, Stephen; Obeng-Asare, Franklin; Nguyen, Nam; Wright, Nicola


    Aims and method Two police liaison and section 136 schemes were developed alongside police services at different sites within the same NHS trust. In one, a mental health nurse worked with frontline police attending incidents related to mental health. The other involved nurses providing advice from the police control room. Section 136 detentions were measured over two 6-month periods (6 months apart) before and after practice change. Data analysed included total numbers of section 136 assessments, outcomes following subsequent assessment, and relevant diagnostic and demographic factors. Association of any change in section 136 total numbers and proportion subsequently admitted was investigated in both sites. Results The model involving a nurse alongside frontline police showed significant reduction in section 136 numbers (38%, P section 136 detention but showed a non-significant (P = 0.16) decrease in subsequent admission. Clinical implications Mental health nurses working alongside frontline police officers can help improve section 136 numbers and outcomes.

  15. A Daily Goals Tool to Facilitate Indirect Nurse-Physician Communication During Morning Rounds on a Medical-Surgical Unit. (United States)

    Perry, Veronica; Christiansen, Mollie; Simmons, Angela


    Interprofessional bedside rounds are essential for patient-centered care. However, it may be difficult for nurses to round with physicians on medical-surgical units. Using a daily goals tool for indirect rounds improved nurse-physician communication and interprofessional care for patients.

  16. Enhancing medical-surgical nursing practice: using practice tests and clinical examples to promote active learning and program evaluation. (United States)

    DuHamel, Martha B; Hirnle, Constance; Karvonen, Colleen; Sayre, Cindy; Wyant, Sheryl; Colobong Smith, Nancy; Keener, Sheila; Barrett, Shannon; Whitney, Joanne D


    In a 14-week medical-surgical nursing review course, two teaching strategies are used to promote active learning and assess the transfer of knowledge to nursing practice. Practice tests and clinical examples provide opportunities for participants to engage in self-assessment and reflective learning and enhance their nursing knowledge, skills, and practice. These strategies also contribute to program evaluation and are adaptable to a variety of course formats, including traditional classroom, web conference, and online self-study.

  17. New directions for academic liaison librarians

    CERN Document Server

    Crawford, Alice


    Aimed at practitioners and students of librarianship, this book is about interesting and unusual practical projects currently being run by academic liaison librarians. It shows how liaison librarians can extend their roles beyond the established one of information literacy teaching and showcases areas in which they can engage in collaborative ventures with academic and administrative staff. Designed to excite and inspire, New Directions for Academic Liaison Librarians demonstrates the potential of the liaison role and emphasises the need for flexibility, imagination and initiative in those who

  18. Between two roles - Experiences of newly trained nurse practitioners in surgical care in Sweden: A qualitative study using repeated interviews. (United States)

    Jangland, Eva; Yngman Uhlin, Pia; Arakelian, Erebouni


    The position of Nurse Practitioner is a new role in Nordic countries. The transition from a registered nurse to the Nurse Practitioner role has been reported to be a personal challenge. This study, guided by the Nordic theoretical model for use in the education of advanced practice nurses, represents a unique opportunity to describe this transition for newly graduated Nurse Practitioners in an interprofessional surgical care team in Sweden. The aim was to explore how the first Nurse Practitioners in surgical care experienced the transition into a new role and what competences they used in the team. Eight new Nurse Practitioners with parallel work in clinical practice were interviewed twice around the time of their graduation. The qualitative analyses show that the participants integrated several central competences, but the focus in this early stage in their new role was on direct clinical praxis, consultation, cooperation, case management, and coaching. Transition from the role of clinical nurse specialist to nurse practitioner was a challenging process in which the positive response from patients was a driving force for the new Nurse Practitioners. The participants felt prepared for and determined to solve the challenging situations they approached working in the interprofessional team.

  19. Nursing Care after Surgical Treatment of Fungal Endoph-thalmitis in Children

    Institute of Scientific and Technical Information of China (English)

    Liqin Xu; Junlian Tan


    Purpose:To explore the nursing care following surgical treat-ment of fungal endophthalmitis in children. Methods:Thirty two children (32 eyes) with fungal endoph-thalmitis were enrolled in this study. After receiving antifungal medication,.the children underwent either intravitreal injec-tion,.intravitreal injection of medicine combined with vitrecto-my,.or intravitreal injection in combination with vitrectomy and intraocular C3F8 tamponade. Prior to surgery, psycholog-ical and quarantine nursing,.and medication use was properly prepared..After the surgery,.the changes in the severity of diseases were strictly observed..A suitable body posture was selected and the eyes were protected from infection. Results:.Among 32 patients with fungal endophthalmitis,.8 (25%).cases presented with alleviated inflammation and no changes in visual acuity. The visual acuity of 18 cases (56.25%). was improved to different extents postoperatively. The inflam-mation in 6 children (18.75%) was properly controlled and the visual acuity declined. No cross-infection was noted in any pa-tient. Conclusion: Prior to surgery, quarantine nursing and drug administration should be properly prepared. Postoperatively, the changes in the severity of diseases should be tightly moni-tored. The patients should be treated with effective therapies in a proper position,.aiming to enhance the surgical efficacy.

  20. The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses. (United States)

    McRae, Marion E; Chan, Alice; Hulett, Renee; Lee, Ai Jin; Coleman, Bernice


    There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills. To test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses' satisfaction with the simulation experience. A convenience sample of sixty nurses rated their self-confidence to perform cardiac surgical resuscitation skills before and after two simulations. Simulation performance was assessed. Subjects completed the Satisfaction with Simulation Experience scale and demographics. Self-confidence scores to perform all cardiac surgical skills as measured by paired t-tests were significantly increased after the simulation (d=-0.50 to 1.78). Self-confidence and cardiac surgical work experience were not correlated with time to performance. Total satisfaction scores were high (mean 80.2, SD 1.06) indicating satisfaction with the simulation. There was no correlation of the satisfaction scores with cardiac surgical work experience (τ=-0.05, ns). Self-confidence scores to perform cardiac surgical resuscitation procedures were higher after the simulation. Nurses were highly satisfied with the simulation experience. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. The "Marital" Liaisons of Gay Men. (United States)

    Harry, Joseph


    Reports research on the nature of enduring sexual liaisons among homosexual men. Such relationships vary widely and may be subinstitutional adaptions to lack of community support. Gay men committed to the heterosexual world were less likely to enter enduring relationships. Open marriage is the more enduring form of gay male liaisons. (Author)

  2. Predicting Liaison: an Example-Based Approach

    NARCIS (Netherlands)

    Greefhorst, A.P.M.; Bosch, A.P.J. van den


    Predicting liaison in French is a non-trivial problem to model. We compare a memory-based machine-learning algorithm with a rule-based baseline. The memory-based learner is trained to predict whether liaison occurs between two words on the basis of lexical, orthographic, morphosyntactic, and

  3. The "Marital" Liaisons of Gay Men. (United States)

    Harry, Joseph


    Reports research on the nature of enduring sexual liaisons among homosexual men. Such relationships vary widely and may be subinstitutional adaptions to lack of community support. Gay men committed to the heterosexual world were less likely to enter enduring relationships. Open marriage is the more enduring form of gay male liaisons. (Author)

  4. Use of iPod™ technology in medical-surgical nursing courses: effect on grades. (United States)

    Johnston, Robert; Hepworth, Joseph; Goldsmith, Melissa; Lacasse, Cheryl


    Advances in computer technology, such as the portable and affordable iPod™, allow students to view lectures anywhere at any time. iPods™ are of special interest for nurse educators who strive to meet demands posed by a critical nursing shortage. A mixed-methods pilot study was conducted to assess whether iPod™ could be an effective teaching tool for medical-surgical nursing lectures. In a randomized study with 35 participants, together with eight students having their own iPods™, grades of students given pre-recorded class lectures on iPods™ were compared with grades of those who attended lectures without iPods™. Learning styles, amount and use of students devoted to iPod™ lectures were considered as well as grades. Most results were not significant, but there was some evidence that the control groups who attended classroom lectures received better grades than iPod™ users, and individuals who used iPod™ more frequently before the final exam received lower grades. These somewhat surprising results suggest the need for further research in the use of this technology as a resource for nursing education delivery.

  5. Surgical travellers: tapestry to Bayeux. (United States)

    Hedley-Whyte, John; Milamed, Debra R


    The planning for surgery in war was revisited in 1937 when Ian Fraser was elected a member of the Surgical Travellers. At their 1938 Surgical Travellers meeting in Vienna, Ian and Eleanor Fraser were evicted from their hotel room by the Nazis. The 1939 meeting in Belfast discussed the organization of surgery and the conduct of Emergency Medical Service Hospitals in the United Kingdom; the vast majority were to be under civilian government and military control. From 1943 lengthy and informative organizational meetings were held at least monthly under the chairmanship of Sir Alexander Hood, KBE, Head of the RAMC. Surgical Consultants, now Major Generals, Brigadiers or Full Colonels in the British and U.S. Armies stationed in the UK, prepared for the invasion of Europe. The allocation of medical, surgical, nursing and auxiliary responsibilities was delineated. Liaison with the RAF and US Army Air Force was close as it was with the proposed leaders, Ulstermen Brooke and Montgomery. Montgomery chose Arthur Porritt as Surgeon in Chief to Supreme Headquarters Allied Expeditionary Force (SHAEF), and Eisenhower, General Albert W. Kenner. Just after D-Day, Porritt met Ian Fraser, who had waded in on Arromanches Beach. The triage and evacuation plans for Allied casualties had been controversial, particularly as regards Landing Ship Tanks (LSTs). The dispute with the Hood-selected surgeons on one side, against medical and surgical deployment of LSTs, and Admiral Ernest King and Winston Churchill on the other, favouring LST use for surgery and evacuation. King and Churchill were correct but total Allied air superiority allowed wide use of many of the Allies' Dakotas; 10,000 DC-3s were eventually in service. Supported by forty Allied combat planes to each Luftwaffe, the dispute about Landing Ship Tank use in about a fortnight became moot. The multifaceted role of the Princess Royal in the Emergency Medical Services of the United Kingdom and her close liaison with the Consultant

  6. The consequences of using advanced physical assessment skills in medical and surgical nursing: A hermeneutic pragmatic study (United States)

    Zambas, Shelaine I.; Smythe, Elizabeth A.; Koziol-Mclain, Jane


    Aims and objectives The aim of this study was to explore the consequences of the nurse's use of advanced assessment skills on medical and surgical wards. Background Appropriate, accurate, and timely assessment by nurses is the cornerstone of maintaining patient safety in hospitals. The inclusion of “advanced” physical assessment skills such as auscultation, palpation, and percussion is thought to better prepare nurses for complex patient presentations within a wide range of clinical situations. Design This qualitative study used a hermeneutic pragmatic approach. Method Unstructured interviews were conducted with five experienced medical and surgical nurses to obtain 13 detailed narratives of assessment practice. Narratives were analyzed using Van Manen's six-step approach to identify the consequences of the nurse's use of advanced assessment skills. Results The consequences of using advanced assessment skills include looking for more, challenging interpretations, and perseverance. The use of advanced assessment skills directs what the nurse looks for, what she sees, interpretation of the findings, and her response. It is the interpretation of what is seen, heard, or felt within the full context of the patient situation, which is the advanced skill. Conclusion Advanced assessment skill is the means to an accurate interpretation of the clinical situation and contributes to appropriate diagnosis and medical management in complex patient situations. Relevance to clinical practice The nurse's use of advanced assessment skills enables her to contribute to diagnostic reasoning within the acute medical and surgical setting. PMID:27607193

  7. A Description of the Use of Music Therapy in Consultation-Liaison Psychiatry


    Rafieyan, Roia; Ries, Rose


    Music therapy is gaining increasing recognition for its benefit in medical settings both for its salutary effects on physiological parameters and on psychological states associated with medical illness. This article discusses the role of a music therapist in consultation-liaison psychiatry, a specialty that provides intervention for medical and surgical patients with concomitant mental health issues.

  8. Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients

    NARCIS (Netherlands)

    Hempenius, Liesbeth; Slaets, Joris; van Asselt, Dieneke; de Bock, Truuske H; Wiggers, Theo; van Leeuwen, Barbara L


    Background The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a

  9. Surgical nurses' attitudes towards caring for patients dying of cancer - a pilot study of an educational intervention on existential issues. (United States)

    Udo, C; Melin-Johansson, C; Henoch, I; Axelsson, B; Danielson, E


    This is a randomised controlled pilot study using a mixed methods design. The overall aim was to test an educational intervention on existential issues and to describe surgical nurses' perceived attitudes towards caring for patients dying of cancer. Specific aims were to examine whether the educational intervention consisting of lectures and reflective discussions, affects nurses' perceived confidence in communication and to explore nurses' experiences and reflections on existential issues after participating in the intervention. Forty-two nurses from three surgical wards at one hospital were randomly assigned to an intervention or control group. Nurses in both groups completed a questionnaire at equivalent time intervals: at baseline before the educational intervention, directly after the intervention, and 3 and 6 months later. Eleven face-to-face interviews were conducted with nurses directly after the intervention and 6 months later. Significant short-term and long-term changes were reported. Main results concerned the significant long-term effects regarding nurses' increased confidence and decreased powerlessness in communication, and their increased feelings of value when caring for a dying patient. In addition, nurses described enhanced awareness and increased reflection. Results indicate that an understanding of the patient's situation, derived from enhanced awareness and increased reflection, precedes changes in attitudes towards communication. © 2014 John Wiley & Sons Ltd.

  10. Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse. (United States)

    D'Lima, D; Sacks, M; Blackman, W; Benn, J


    The aim of the study was to conduct a qualitative exploration of the sociotechnical processes underlying retained surgical swabs, and to explore the fundamental reasons why the swab count procedure and related protocols fail in practice. Data was collected through a set of 27 semistructured qualitative interviews with scrub nurses from a large, multi-site teaching hospital. Interview transcripts were analysed using established constant comparative methods, moving between inductive and deductive reasoning. Key findings were associated with interprofessional perspectives, team processes and climate and responsibility for the swab count. The analysis of risk factors revealed that perceived social and interprofessional issues played a significant role in the reliability of measures to prevent retained swabs. This work highlights the human, psychological and organisational factors that impact upon the reliability of the process and gives rise to recommendations to address contextual factors and improve perioperative practice and training.

  11. Consultation-liaison service in a regional hospital in Hong Kong. (United States)

    Wong, M M C; Yiu, M G C


    To examine consultation-liaison psychiatric services in a general hospital in Hong Kong. All records of Tseung Kwan O Hospital psychiatric consultations from 1 July 2012 to 30 June 2013 were extracted from the database. Patients' demographic data, sources and reasons of referral, psychiatric and suicidal histories, current suicidal attempt, psychiatric diagnoses, psychiatric outcomes, as well as waiting times were analysed accordingly. A total of 1392 psychiatric consultations were received, of which 82% were attended to within the same working day when the referral was received, and 99% were attended to by the end of the next working day. The commonest reasons of consultation were unstable emotion followed by suicidal / deliberate self-harm and aggression. There were 246 consultations with actual suicidal attempt. Overall, 270 (19%) patients who received consultation-liaison psychiatric services were admitted to the psychiatric wards. Follow-up in the psychiatric outpatient department was arranged for 691 (50%) patients while 57 (4%) required referral to the community psychiatric nursing service in addition to outpatient department arrangement. Management of suicidal attempters and provision of risk assessment continue to be the major tasks of consultation-liaison psychiatrists and nurses. A readily available on-site consultation-liaison psychiatric service is an essential component of services provided in acute general hospitals.

  12. Perception of the nursing team of a Surgical Center regarding Hospital Accreditation at a University Hospital. (United States)

    Fernandes, Hellen Maria de Lima Graf; Peniche, Aparecida de Cássia Giani


    Objective To analyze the perception of nursing teams at a surgical center regarding the process of hospital accreditation, in the evaluative aspects of structure, process, and result. Method The study takes a quantitative and exploratory-descriptive approach, carried out at a university hospital. Result The population consisted of 69 nursing professionals, and the data collection was performed in the months of January and February 2014 by way of a questionnaire, utilizing the Likert scale. The methodology used a Cronbach's Alpha equal to 0.812. In the comparison of the three aspects, the one with the highest favorability score was "result", with an average of 47.12 (dp±7.23), and the smallest was "structure," with an average of 40.70 (dp±5.19). Conclusion This situational diagnostic can assist in the restructuring of the vulnerable areas evaluated in these three aspects, mainly in the aspect of structure, with a goal of level 2 accreditation by the ONA (Brazilian's National Organization for Accreditation) defended by the Institution.

  13. A Novel Approach to Surgical Instructions for Scrub Nurses by Using See-Through-Type Head-Mounted Display. (United States)

    Yoshida, Soichiro; Sasaki, Asami; Sato, Chikage; Yamazaki, Mutsuko; Takayasu, Junya; Tanaka, Naofumi; Okabayashi, Norie; Hirano, Hiromi; Saito, Kazutaka; Fujii, Yasuhisa; Kihara, Kazunori


    In order to facilitate assists in surgical procedure, it is important for scrub nurses to understand the operation procedure and to share the operation status with attending surgeons. The potential utility of head-mounted display as a new imaging monitor has been proposed in the medical field. This study prospectively evaluated the usefulness of see-through-type head-mounted display as a novel intraoperative instructional tool for scrub nurses. From January to March 2014, scrub nurses who attended gasless laparoendoscopic single-port radical nephrectomy and radical prostatectomy wore the monocular see-through-type head-mounted display (AiRScouter; Brother Industries Ltd, Nagoya, Japan) displaying the instruction of the operation procedure through a crystal panel in front of the eye. Following the operation, the participants completed an anonymous questionnaire, which evaluated the image quality of the head-mounted display, the helpfulness of the head-mounted display to understand the operation procedure, and adverse effects caused by the head-mounted display. Fifteen nurses were eligible for the analysis. The intraoperative use of the head-mounted display could help scrub nurses to understand the surgical procedure and to hand out the instruments for the operation with no major head-mounted-display wear-related adverse event. This novel approach to support scrub nurses will help facilitate technical and nontechnical skills during surgery.

  14. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. (United States)

    Watkins, Terri; Whisman, Lynn; Booker, Pamela


    Evaluate continuous vital sign surveillance as a tool to improve patient safety in the medical/surgical unit. Failure-to-rescue is an important measure of hospital quality. Patient deterioration is often preceded by changes in vital signs. However, continuous multi-parameter vital sign monitoring may decrease patient safety with an abundance of unnecessary alarms. Prospective observational study at two geographically disperse hospitals in a single hospital system. A multi-parameter vital sign monitoring system was installed in a medical/surgical unit in Utah and one in Alabama providing continuous display of SpO2, heart rate, blood pressure and respiration rate on a central station. Alarm thresholds and time to alert annunciations were set based on prior analysis of the distribution of each vital sign. At the end of 4 weeks, nurses completed a survey on their experience. An average alert per patient, per day was determined retrospectively from the saved vital signs data and knowledge of the alarm settings. Ninety-two per cent of the nurses agreed that the number of alarms and alerts were appropriate; 54% strongly agreed. On average, both units experienced 10·8 alarms per patient, per day. One hundred per cent agreed the monitor provided valuable patient data that increased patient safety; 79% strongly agreed. Continuous, multi-parameter patient monitoring could be performed on medical/surgical units with a small and appropriate level of alarms. Continuous vital sign assessment may have initiated nursing interventions that prevented failure-to-rescue events. Nurses surveyed unanimously agreed that continuous vital sign surveillance will help enhance patient safety. Nursing response to abnormal vital signs is one of the most important levers in patient safety, by providing timely recognition of early clinical deterioration. This occurs through diligent nursing surveillance, involving assessment, interpretation of data, recognition of a problem and meaningful

  15. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. (United States)

    Mason, Virginia M; Leslie, Gail; Clark, Kathleen; Lyons, Pat; Walke, Erica; Butler, Christina; Griffin, Martha


    Preparation for replacing the large proportion of staff nurses reaching retirement age in the next few decades in the United States is essential to continue delivering high-quality nursing care and improving patient outcomes. Retaining experienced critical care nurses is imperative to successfully implementing the orientation of new inexperienced critical care nurses. It is important to understand factors that affect work engagement to develop strategies that enhance nurse retention and improve the quality of patient care. Nurses' experience of moral distress has been measured in medical intensive care units but not in surgical trauma care units, where nurses are exposed to patients and families faced with sudden life-threatening, life-changing patient consequences.This pilot study is a nonexperimental, descriptive, correlational design to examine the effect of compassion satisfaction, compassion fatigue, moral distress, and level of nursing education on critical care nurses' work engagement. This is a partial replication of Lawrence's dissertation. The study also asked nurses to describe sources of moral distress and self-care strategies for coping with stress. This was used to identify qualitative themes about the nurse experiences. Jean Watson's theory of human caring serves as a framework to bring meaning and focus to the nursing-patient caring relationship.A convenience sample of 26 of 34 eligible experienced surgical intensive care unit trauma nurses responded to this survey, indicating a 77% response rate. Twenty-seven percent of the nurses scored high, and 73% scored average on compassion satisfaction. On compassion fatigue, 58% scored average on burnout and 42% scored low. On the secondary traumatic stress subscale, 38% scored average, and 62% scored low. The mean moral distress situations subscale score was 3.4, which is elevated. The mean 9-item Utrecht Work Engagement Scale total score, measuring work engagement, was 3.8, which is considered low

  16. Enfermeira de ligação: uma estratégia de integração em rede Enfermera de comunicación: una estrategia de integración en red Liaison nurse: a strategy of network integration

    Directory of Open Access Journals (Sweden)

    Elizabeth Bernardino


    Full Text Available Este artigo objetiva identificar a demanda e as possibilidades de atuação da enfermeira de ligação no Hospital de Clínicas da Universidade Federal do Paraná. É uma pesquisa descritiva na modalidade estudo de caso, desenvolvida de agosto de 2007 a maio de 2008 e realizada em duas etapas distintas. Primeiramente se realizou uma monitorização das altas hospitalares por meio de formulários, e em seguida, após a seleção de uma unidade de internação em que houve a atuação do papel de enfermeira de ligação junto aos usuários com alta hospitalar, foram entrevistados 10 destes, com a utilização de um roteiro semi-estruturado. Por último, foi realizada a categorização das entrevistas e submissão dos dados à análise temática. Os resultados apontam que a implantação da função enfermeira de ligação é um passo para viabilizar a integração do HC/UFPR à rede e colaborar para a integralidade da atenção.Este artículo tiene como objetivo identificar la demanda y posibilidades de acción de la enfermera de comunicación en el Hospital de Clínicas de la Universidad Federal de Paraná. Es un trabajo descriptivo en la modalidad estudio de caso, desarrollado entre agosto de 2007 y mayo de 2008, y realizado en dos etapas. Primero, se realizó un seguimiento de altas hospitalarias por medio de formularios; posteriormente fue seleccionada una unidad de internación en que hubo la acción de la Enfermera de Comunicación junto a los pacientes de alta hospitalaria y fueron realizadas entrevistas semi-estructuradas con 10 destos. Finalmente, fue realizada la categorización y envío de datos para análisis temática. Los resultados demostraron que la implantación de la función Enfermera de Comunicación es un paso para viabilizar la integración del HC/UFPR a la red y colaborar para la integralidad de la atención.This paper aims to identify the demand and potential activities of the Liaison Nurse position in the Hospital de Cl

  17. Neurology referrals to a liaison psychiatry service.

    LENUS (Irish Health Repository)

    Fitzgerald, P


    The objective of the present study was to assess the activity of the Liaison Psychiatry service of Cork University Hospital in relation to all in-patient neurology referrals over a 12-month period. Of 1685 neurology admissions, 106 (6%) were referred to liaison psychiatry for assessment. 91 referrals (86%) met criteria for a psychiatric disorder according to DSM-IV, the commonest being major depression (24%) and somatoform disorder (23%). Patients with multiple sclerosis or epilepsy comprised nearly half of all referrals (48 cases; 45%). Approximately 20% of M.S. in-patients (21 cases) were referred for psychiatric assessment, with the corresponding figure in epilepsy being 25% (18 cases). Although only 106 (6%) neurology in-patients were referred to liaison psychiatry, psychiatric diagnoses were documented in 327 (20%) discharge forms, presumably reflecting previous diagnosis. The above findings indicate that psychiatric illness is common among neurology inpatients screened by liaison psychiatry yet referral rates are relatively low in terms of the overall number of neurology in-patients. Psychiatric disorders were diagnosed in 86% of referrals indicating high concordance between neurologists and liaison psychiatry regarding the presence of a psychiatric disorder.

  18. LTACH liaison aids appropriate level of care. (United States)


    The long-term acute care liaison at Pennsylvania State University Milton S. Hershey Medical Center identifies patients eligible for a long-term acute care hospital (LTACH) stay and coordinates their transition. The LTACH liaison works with the case management and social work staffto identify patients early in the stay and give families information they can use to make an informed decision about a facility. The liaison follows up with the LTACH treatment team to ensure that they have all the information they need and feel comfortable about the treatment plan. As a result of the program, the hospital has increased the number of patients it transfers to LTACHs each month from about 18 to about 30.

  19. Development of the Veterans Healthcare Administration (VHA) Ophthalmic Surgical Outcome Database (OSOD) project and the role of ophthalmic nurse reviewers. (United States)

    Lara-Smalling, Agueda; Cakiner-Egilmez, Tulay; Miller, Dawn; Redshirt, Ella; Williams, Dale


    Currently, ophthalmic surgical cases are not included in the Veterans Administration Surgical Quality Improvement Project data collection. Furthermore, there is no comprehensive protocol in the health system for prospectively measuring outcomes for eye surgery in terms of safety and quality. There are 400,000 operative cases in the system per year. Of those, 48,000 (12%) are ophthalmic surgical cases, with 85% (41,000) of those being cataract cases. The Ophthalmic Surgical Outcome Database Pilot Project was developed to incorporate ophthalmology into VASQIP, thus evaluating risk factors and improving cataract surgical outcomes. Nurse reviewers facilitate the monitoring and measuring of these outcomes. Since its inception in 1778, the Veterans Administration (VA) Health System has provided comprehensive healthcare to millions of deserving veterans throughout the U.S. and its territories. Historically, the quality of healthcare provided by the VA has been the main focus of discussion because it did not meet a standard of care comparable to that of the private sector. Information regarding quality of healthcare services and outcomes data had been unavailable until 1986, when Congress mandated the VA to compare its surgical outcomes to those of the private sector (PL-99-166). 1 Risk adjustment of VA surgical outcomes began in 1987 with the Continuous Improvement in Cardiac Surgery Program (CICSP) in which cardiac surgical outcomes were reported and evaluated. 2 Between 1991 and 1993, the National VA Surgical Risk Study (NVASRS) initiated a validated risk-adjustment model for predicting surgical outcomes and comparative assessment of the quality of surgical care in 44 VA medical centers. 3 The success of NVASRS encouraged the VA to establish an ongoing program for monitoring and improving the quality of surgical care, thus developing the National Surgical Quality Improvement Program (NSQIP) in 1994. 4 According to a prospective study conducted between 1991-1997 in 123

  20. A pilot program to improve nursing and surgical intern collaboration: Lessons learned from a mixed-methods study. (United States)

    Raparla, Neha; Davis, Diane; Shumaker, Daria; Kumar, Anagha; Hafiz, Shabnam; Sava, Jack; Adams, Katie; Fitzgibbons, Shimae C


    Inter-professional collaboration is an integral component of a successful healthcare team. We sought to evaluate the impact of nursing student participation in a one-day intensive inter-professional education (IPE) training session with surgical interns on participant attitudes toward inter-professional collaboration. Following IRB approval, pre and post IPE session survey responses were compared to determine the impact on participant attitudes toward inter-professional collaboration. Pre and post session semi-structured interviews were transcribed and analyzed to identify relevant themes. Surgical interns (n = 38) more than nursing students (n = 11), demonstrated a measurable improvement in attitude towards 'collaboration and shared education' (interns: median score pre = 26, post = 28, p = 0.0004; nursing student: median score pre = 27, post = 28, p = 0.02). Qualitative analysis of interviews identified major themes that supplemented this finding. An eight hour, one day IPE session has a positive impact on collaborative attitudes and supports the case for increased inter-professional education amongst interns and nursing students. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Congressional Liaison Offices of Selected Federal Agencies (United States)


    Contacts Author Contact Information ...................................................................................................... 32...703) 604-6617 Fax: (703) 601-4469 E-mail: E-mail: LPA- web Senate Liaison: Lorna...301) 415-1776 Fax: (301) 415-8571 Occupational Safety and Health Review Commission Ray Darling Executive Secretary

  2. Development of the Basic Knowledge Assessment Tool for Medical-Surgical Nursing (MED-SURG BKAT) © and implications for in-service educators and managers. (United States)

    Toth, Jean


    BACKGROUND OF THE PROBLEM: Medical-surgical nursing is now the largest specialty in acute care, and needs an objective measure of basic knowledge necessary to provide safe care to patients. The Joint Commission on Accreditation of Healthcare Organizations noted that healthcare organizations have in the past relied on education and experience to support competence, but an increasing number are seeking objective measures of a nurse's knowledge that is required for safe practice. The American Nurses Association adds that safe practice is both a professional and a moral responsibility. A review of the literature failed to locate a standardized test of basic knowledge in medical-surgical nursing. In-service educators and managers need such a test to facilitate orientation programs, and as a way to safely decrease the length of orientation for new employees with previous experience in medical-surgical nursing. The purpose of the study was to develop a valid and reliable test to measure basic knowledge in medical-surgical nursing. The Basic Knowledge Assessment Tool for Medical-Surgical nursing was developed with support for its validity and reliability. © 2011 Wiley Periodicals, Inc.

  3. Nurse Level of Education, Quality of Care and Patient Safety in the Medical and Surgical Wards in Malaysian Private Hospitals: A Cross-sectional Study. (United States)

    Abdul Rahman, Hamzah; Jarrar, Mu'taman; Don, Mohammad Sobri


    Nursing knowledge and skills are required to sustain quality of care and patient safety. The numbers of nurses with Bachelor degrees in Malaysia are very limited. This study aims to predict the impact of nurse level of education on quality of care and patient safety in the medical and surgical wards in Malaysian private hospitals. A cross-sectional survey by questionnaire was conducted. A total 652 nurses working in the medical and surgical wards in 12 private hospitals were participated in the study. Multistage stratified simple random sampling performed to invite nurses working in small size (less than 100 beds), medium size (100-199 beds) and large size (over than 200) hospitals to participate in the study. This allowed nurses from all shifts to participate in this study. Nurses with higher education were not significantly associated with both quality of care and patient safety. However, a total 355 (60.9%) of respondents participated in this study were working in teaching hospitals. Teaching hospitals offer training for all newly appointed staff. They also provide general orientation programs and training to outline the policies, procedures of the nurses' roles and responsibilities. This made the variances between the Bachelor and Diploma nurses not significantly associated with the outcomes of care. Nursing educational level was not associated with the outcomes of care in Malaysian private hospitals. However, training programs and the general nursing orientation programs for nurses in Malaysia can help to upgrade the Diploma-level nurses. Training programs can increase their self confidence, knowledge, critical thinking ability and improve their interpersonal skills. So, it can be concluded that better education and training for a medical and surgical wards' nurses is required for satisfying client expectations and sustaining the outcomes of patient care.

  4. [Analysis of teaching of the discipline Nursing in Surgical Center in schools of São Paulo]. (United States)

    Leite, Aline Suelem; Turrini, Ruth Natalia Teresa


    The study aimed to characterize the teaching of Nursing in Surgical Center in relation to work load, content and specific curriculum component; and to identify the perspectives and experiences of teachers in teaching this content. This is a descriptive study of quantitative and qualitative approach, that used a semi structured instrument for data collection, with questions related to teaching discipline, sent by email to the coordinators of the courses of Bachelor of Nursing from 219 schools in the state of São Paulo, registered in the website of the Brazilian Ministry of Education. Of the 52 respondents, 90.4% were from private schools, mostly located in the interior of the state (71.1%). From the total of courses, 53.8% ministered the content surgical center within another discipline. The median of content hours was of 64h (40-300h). The respondents commented on the extensive content for a small work load, both practical and theoretical, and its importance for the formation of the generalist nurse.

  5. Clinical and demographic profile of cancer patients in a consultation-liaison psychiatric service

    Directory of Open Access Journals (Sweden)

    Vanessa de Albuquerque Citero

    Full Text Available ABSTRACT CONTEXT: An almost 50% prevalence of psychiatric disorders among cancer patients has prompted a series of studies on consultation-liaison psychiatry. Nonetheless, there are few reports on the epidemiological factors involving comorbidity between cancer and psychiatric disorders. OBJECTIVE: To evaluate the epidemiological profile of cancer inpatients referred to the consultation-liaison psychiatric service in an oncology hospital during its first year of activity. TYPE OF STUDY: Descriptive study. SETTING: Tertiary-care teaching hospital. PARTICIPANTS: 319 patients referred 412 times to the consultation-liaison psychiatry service. PROCEDURES: From August 97 to July 98, an appraisal was made of data on all admissions registered at the Hospital do Câncer, and also all referrals registered at the consultation-liaison psychiatry service. MAIN MEASUREMENTS: The demographics and patients' clinical data, the type and flow of the request, and the evaluation conducted by the service were analyzed and comparisons with the hospital data were made. The distribution of the number of referrals was used to construct a profile of patients who had repeatedly used the service. RESULTS: Psychiatric diagnoses were found in 59% of the cases. Forty-three percent of these required medication, 18.3% needed psychotherapy, 22.1% family intervention and 20.5% guidance from the staff. Over 22.8% of the consultations were reevaluations, mainly involving younger male patients with worst prognoses. These patients required lengthier and more elaborate intervention, and had higher prevalence of depressive and behavioral disorders. CONCLUSION: A younger and mainly male population of non-surgical oncological cases was referred to the consultation-liaison psychiatric service during its first year of activity. The psychiatric disorder prevalence was higher than expected, and consisted predominantly of mood disorders. We detected a priority group, namely the reevaluated

  6. Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

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    E. B. Mukaetova-Ladinska


    Full Text Available Liaison Old Age Psychiatry services (LOAP have begun to emerge in the UK and further development of the service is supported by the latest health policies. Since qualitative and quantitative studies in this area are lacking, we have undertaken a detailed quantitative prospective review of referrals to the Newcastle LOAP to evaluate the clinical activity of the service. We report high referral rates and turnover for the LOAP service. Reasons for referral are diverse, ranging from requests for level of care and capacity assessments and transfer to other clinical services to management of behaviour, diagnosis, and treatment. We outline the value of a multidisciplinary model of LOAP activity, including the important role of the liaison nursing team, in providing a rapid response, screening, and followup of high number of clinical referrals to the service.

  7. Respect for privacy by nurses from the perspective of the elderly hospitalized in internal and surgical wards

    Directory of Open Access Journals (Sweden)

    Marzieh Zihaghi


    Full Text Available Background: Respect for privacy is the right of all patients, including the elderly, and lack of respect for patients could be associated with increased anxiety, stress, lack of confidence in hospital personnel, refusal of physical examination, and impaired recovery. This study aimed to evaluate respect for privacy by nurses from the perspective of the elderly hospitalized in internal and surgical wards. Methods: This cross-sectional study was conducted on the elderly hospitalized in internal and surgical wards of hospitals affiliated to Zahedan University of Medical Sciences, Zahedan, Iran, in 2015. In total, 132 patients were selected through convenience sampling. Data was collected using the researcher-made questionnaire of respect for privacy, reliability and validity of which were confirmed. Data analysis was performed in SPSS, version 16, using descriptive statistics, Mann-Whitney U tests, and Spearman’s correlation coefficient. Results: In this study, mean score of respect for privacy of patients by nurses was favorable in 70.4% of the cases. In terms of physical and psycho-social dimensions of privacy, 81.1% and 73.4% of the cases were at an acceptable level, respectively. Regarding information dimension of privacy, 84.8% of the cases were at a moderate level. A higher level of respect for privacy was reported by elderly female patients (104.24±13.7, compared to male elderlies (109.13±60.62; P=0.013. Moreover, a negative significant correlation was observed between age of the elderly and respect for privacy by nurses (P<0.001, r=-0.37. Conclusion: According to the results of this study, respect for the elderly was reported to be at a favorable level for physical and psycho-social dimensions. Nevertheless, information dimension of privacy was not acceptable. Therefore, it is recommended that necessary educational programs be performed for nurses.

  8. Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial. (United States)

    Kam, Jonathan; Ainsworth, Hannah; Handmer, Marcus; Louie-Johnsun, Mark; Winter, Matthew


    Continuing education of health professionals is important for delivery of quality health care. Surgical nurses are often required to understand surgical procedures. Nurses need to be aware of the expected outcomes and recognize potential complications of such procedures during their daily work. Traditional educational methods, such as conferences and tutorials or informal education at the bedside, have many drawbacks for delivery of this information in a universal, standardized, and timely manner. The rapid uptake of portable media devices makes portable video media (PVM) a potential alternative to current educational methods. To compare PVM to standard verbal communication (SVC) for surgical information delivery and educational training for nurses and evaluate its impact on knowledge acquisition and participant satisfaction. Prospective, multicenter, randomized controlled crossover trial. Two hospitals: Gosford District Hospital and Wyong Hospital. Seventy-two nursing staff (36 at each site). Information delivery via PVM--7-minute video compared to information delivered via SVC. Knowledge acquisition was measured by a 32-point questionnaire, and satisfaction with the method of education delivery was measured using the validated Client Satisfaction Questionnaire (CSQ-8). Knowledge acquisition was higher via PVM compared to SVC 25.9 (95% confidence interval [CI] 25.2-26.6) versus 24.3 (95% CI 23.5-25.1), p = .004. Participant satisfaction was higher with PVM 29.5 (95% CI 28.3-30.7) versus 26.5 (95% CI 25.1-27.9), p = .003. Following information delivery via SVC, participants had a 6% increase in knowledge scores, 24.3 (95% CI 23.5-25.1) versus 25.7 (95% CI 24.9-26.5) p = .001, and a 13% increase in satisfaction scores, 26.5 (95% CI 25.1-27.9) versus 29.9 (95% CI 28.8-31.0) p information delivery via PVM. PVM provides a novel method for providing education to nurses that improves knowledge retention and satisfaction with the educational process. © 2016 Sigma Theta

  9. Reflections on the Teaching of Surgical Nursing%对外科护理学教学的几点思考

    Institute of Scientific and Technical Information of China (English)



    外科护理学是医学护理学教学中一门重要的临床课程,其教学效果直接影响了学生将来的临床护理外科工作。笔者认为在外科护理学教学过程中,要综合教师、学生、教材、临床需要等多方面因素,整合情景模式教育,融入标准化患者概念,注重外科病人的心理护理,并多使用多媒体教学,培养良好的外科技能和理念才能更好地传授好这门课程。%In the teaching of surgical nursing is an important clinical course of medical nursing teach-ing ,which directly affects the clinical nursing of surgical work of students in the future .The author thinks that in the teaching of surgical nursing process ,to teachers ,students ,teaching material ,clini-cal needs and other factors ,the integration of situational education mode ,into the standardized pa-tients concept ,pay attention to psychological nursing in surgical patients ,and the use of multimedia teaching ,the cultivation of good surgical skills and ideas to better teach this curriculum .

  10. The Family Liaison Position in High-Poverty, Urban Schools (United States)

    Dretzke, Beverly J.; Rickers, Susan R.


    This study examined the roles and responsibilities of family liaisons working in urban schools with enrollments characterized by high poverty, high mobility, and ethnic diversity. Results indicated that the major responsibilities of the liaisons were creating a trusting and welcoming environment, facilitating parent involvement in the school,…

  11. Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.

    LENUS (Irish Health Repository)

    Ahmed, M


    Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.

  12. Peer-to-peer nursing rounds and hospital-acquired pressure ulcer prevalence in a surgical intensive care unit: a quality improvement project. (United States)

    Kelleher, Alyson Dare; Moorer, Amanda; Makic, MaryBeth Flynn


    We conducted a quality improvement project in order to evaluate the effect of nurse-to-nurse bedside "rounding" as a strategy to decrease hospital-acquired pressure ulcers (HAPU) in a surgical intensive care unit. We instituted weekly peer-to-peer bedside skin rounds in a 17-bed surgical intensive care unit. Two nurses were identified as skin champions and trained by the hospital's certified WOC nurse to conduct skin rounds. The skin champion nurses conducted weekly peer-to-peer rounds that included discussions about key elements of our patients' skin status including current Braden Scale for Pressure Sore Risk score, and implementation of specific interventions related to subscale risk assessment. If a pressure ulcer was present, the current action plan was reevaluated for effectiveness. Quarterly HAPU prevalence studies were conducted from January 2008 to December 2010. Nineteen patients experienced a HAPU: 17 were located on the coccyx and 2 on the heel. Ten ulcers were classified as stage II, 3 PU were stage IV, 5 were deemed unstageable, and 1 was classified as a deep tissue injury. The frequency of preventive interventions rose during our quality improvement project. Specifically, the use of prevention surfaces increased 92%, repositioning increased 30%, nutrition interventions increased 77%, and moisture management increased 100%. Prior to focused nursing rounds, the highest HAPU prevalence rate was 27%. After implementing focused nursing rounds, HAPU rates trended down and were 0% for 3 consecutive quarters.

  13. Taking consultation-liaison psychiatry into primary care. (United States)

    Kisely, Stephen; Campbell, Leslie Anne


    Up to 50% of patients seen in primary care have mental health problems, the severity and duration of their problems often being similar to those of individuals seen in the specialized sector. This article describes the reasons, advantages, and challenges of collaborative or shared care between primary and mental health teams, which are similar to those of consultation-liaison psychiatry. In both settings, clinicians deal with the complex interrelationships between medical and psychiatric disorders. Although initial models emphasized collaboration between family physicians, psychiatrists, and nurses, collaborative care has expanded to involve patients, psychologists, social workers, occupational therapists, pharmacists, and other providers. Several factors are associated with favorable patient outcomes. These include delivery of interventions in primary care settings by providers who have met face-to-face and/or have pre-existing clinical relationships. In the case of depression, good outcomes are particularly associated with approaches that combined collaborative care with treatment guidelines and systematic follow-up, especially for those with more severe illness. Family physicians with access to collaborative care also report greater knowledge, skills, and comfort in managing psychiatric disorders, even after controlling for possible confounders such as demographics and interest in psychiatry. Perceived medico-legal barriers to collaborative care can be addressed by adequate personal professional liability protection on the part of each practitioner, and ensuring that other health care professionals with whom they work collaboratively are similarly covered.

  14. Development and evaluation of the e-learning teaching materials for surgical nursing training. (United States)

    Matsuda, Yoshimi; Takeuchi, Tomiko; Takahashi, Yukiko; Ozawa, Kazuhiro; Nishimoto, Yutaka; Terauti, Hidemasa


    We investigated e-learning teaching materials with a questionnaire for 55 nursing students. Students thought the materials easy to use. In addition, the teaching materials which we developed gave them the confidence of thinking, "I can do it". We affect training by imaging a nursing procedure and think anxiety to training to be be relieved. However, load of PC became high in these teaching materials to display of two motion pictures simultaneously in one screen, so it would be necessary to produce the teaching materials considered transmission rate.

  15. Evaluation of Police General Hospital's Fracture Liaison Service (PGH's FLS: The first study of a Fracture Liaison Service in Thailand

    Directory of Open Access Journals (Sweden)

    Tanawat Amphansap


    Conclusions: Patients with recent hip fractures participating in the Fracture Liaison service had a significantly higher post-injury BMD follow up and osteoporotic medication administration rates. This resulted in a lower risk of secondary fracture than those who did not participate in the Fracture Liaison service at a follow up time of one year.

  16. LiAISON: Linked, Autonomous Interplanetary Satellite Orbit Navigation Project (United States)

    National Aeronautics and Space Administration — A new navigation technique known as LiAISON (Linked Autonomous Interplanetary Satellite Orbit Navigation) may be used to propel the benefits of GPS to new orbits,...

  17. Variation in cancer surgical outcomes associated with physician and nurse staffing: a retrospective observational study using the Japanese Diagnosis Procedure Combination Database

    Directory of Open Access Journals (Sweden)

    Yasunaga Hideo


    Full Text Available Abstract Background Little is known about the effects of professional staffing on cancer surgical outcomes. The present study aimed to investigate the association between cancer surgical outcomes and physician/nurse staffing in relation to hospital volume. Methods We analyzed 131,394 patients undergoing lung lobectomy, esophagectomy, gastrectomy, colorectal surgery, hepatectomy or pancreatectomy for cancer between July and December, 2007–2008, using the Japanese Diagnosis Procedure Combination database linked to the Survey of Medical Institutions data. Physician-to-bed ratio (PBR and nurse-to-bed ratio (NBR were determined for each hospital. Hospital volume was categorized into low, medium and high for each of six cancer surgeries. Failure to rescue (FTR was defined as a proportion of inhospital deaths among those with postoperative complications. Multi-level logistic regression analysis was performed to examine the association between physician/nurse staffing and FTR, adjusting for patient characteristics and hospital volume. Results Overall inhospital mortality was 1.8%, postoperative complication rate was 15.2%, and FTR rate was 11.9%. After adjustment for hospital volume, FTR rate in the group with high PBR (≥19.7 physicians per 100 beds and high NBR (≥77.0 nurses per 100 beds was significantly lower than that in the group with low PBR ( Conclusions Well-staffed hospitals confer a benefit for cancer surgical patients regarding reduced FTR, irrespective of hospital volume. These results suggest that consolidation of surgical centers linked with migration of medical professionals may improve the quality of cancer surgical management.

  18. [Hip Fracture--Epidemiology, Management and Liaison Service. Practice of the secondary fracture prevention of the proximal femoral fracture by the Osteoporosis Liaison Service]. (United States)

    Ikeda, Satoshi


    The proximal femoral fracture number of patients increases with age, and it is predicted that patients over 90 years old will increase in future. It causes a decline of ADL and the QOL, mortality aggravation, a remarkable rise of medical care, the nursing-care cost when they present with a fracture. Primary prevention is important to prevent osteoporotic fracture, but the secondary prevention for the prior or new fracture patient is particularly important. For the practice of the secondary prevention, cooperation of a doctor and the medical staff who included not only the hospital but also the cooperation with the medical institution in the area is indispensable. This report introduces osteoporosis liaison service working on in our hospital and is happy if it is with consideration of the practice of the secondary prevention of the proximal femoral fracture.


    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz


    Full Text Available Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to the development of burnout syndrome. This syndrome not only lowers, to a great extent, the quality of performed work but also prevents nurses from further professional development. Aims : The aim of the following paper is to evaluate the influence of stress connected with the professional work of a nurse on the occurrence of burnout syndrome. Material and methodology : Research was conducted on a group of 103 nurses working at eight hospital wards (surgical and medical treatment at the District Hospital in Lipsko. The research tool was a questionnaire of the author’s own devise, which contained 34 questions. Results : Among the examined nurses, 90% concluded that their professional work has a negative impact on their family life and they pointed to their own occupational burnout. Nurses who carried negative emotions over from work to their homes significantly more often showed a lack of satisfaction from their job and signs of occupational burnout. A substantial percentage of the participants considered shift-work and the professional position held to be a detrimental factor in the process of occupational burnout. Conclusion : The nurses were to a large extent exposed to mental burdens having a negative impact on their work. The vast majority of the respondents felt satisfaction from their job but a significant percentage of the respondents admitted to suffering from symptoms of chronic stress and exhaustion, which may indicate a lack of any support from co

  20. The Smallpox Threat: The School Nurse's Role (United States)

    Martin, Mary E.; Didion, Judy


    Today, with the threat of bioterrorism and war, there is a new dimension to the traditional role of the school nurse. The smallpox threat to public health will invoke the school nurse's role as an educator, liaison, and consultant in the community. This article discusses smallpox, the vaccination process, adverse effects, and postvaccination care.…

  1. The Hannover Consultation Liaison model: some empirical findings. (United States)

    Freyberger, H; Künsebeck, H W; Lempa, W; Avenarius, H J; Liedtke, R; Plassman, R; Nordmeyer, J


    Starting from the definitions concerning the concepts 'Liaison medicine' and 'Consultative Psychiatry' we begin with remarks with regard to the Consultation Liaison-Situation in West Germany on the basis of the key-words 'Brief history', 'Independent university units with regard to Psychotherapy and Psychosomatics as well as the connected organization' and 'Teaching procedures'. Following it the Hannover Consultation Liaison model is presented particularly with regard to both the psychosomatic inpatient ward including the functional organization and psychotherapeutic processes as well as the so-called 'Innere Ambulanz' which includes the consultation liaison services in the clinico-medical departments outside Psychiatry and Psychosomatics. Within the 'Innere Ambulanz', which is closely connected to our psychosomatic inpatient ward, the consultation liaison activities and the resulting supportive psychotherapeutic strategies are performed by student auxiliary therapists who are interested in completing their 4-5 months internship-time in our department. We describe both the three supportive psychotherapeutic steps, which may last months to years including subsequent dynamically psychotherapeutic strategies as well as the reactions of the auxiliary therapist function on the students. Furthermore, we may state that there exists no one more optional education procedure of graduate students than the student's confrontation with his partial self-responsibility vis-à-vis a patient who is being supportive-psychotherapeutically treated by him. Specific empirical proofs concerning our patient oriented consultation liaison activities are demonstrated on the basis of previous psychotherapeutic findings in Crohn patients. Here we are able to demonstrate the effectivity of psychotherapy in the case of the supplementarily psychotherapeutically treated patients in comparison to the patients who received medical therapy only. Finally we are able to present quantitative clinico

  2. 论外科新上岗护士职业压力及应对措施%On occupational stresses of surgical new nurses and coping measures

    Institute of Scientific and Technical Information of China (English)

    徐文; 聂平


    本文分析了外科新上岗护士职业压力产生的原因,并从加强岗位培训、提高护理操作技能、定期予以心理辅导、加强法律法规知识培训等方面提出了缓解职业压力的措施,以保障外科新上岗护士的心身健康,确保医疗安全和护理质量。%In this paper the causes of occupational stresses of surgical new nurses are analyzed and measures relieving occupational stresses raised from the strengthen of on‐the‐job training , improvement of nursing manipulation skill , regular psychological counseling and the strengthen of laws and regulations knowledge training and so on in order to ensure psychosomatic health of surgical new employed nurses , medical safety and nursing quality .

  3. Contribution of a liaison clinical pharmacist to an inpatient palliative care unit. (United States)

    Lucas, C; Glare, P A; Sykes, J V


    The impact on patient care of interventions made by a liaison clinical pharmacist visiting a busy inpatient palliative care unit were evaluated using a validated six-point scoring system. Interventions made in 13% of patients could improve patient care, save money or both, but rarely involved the drugs that are commonly used for symptom control in patients with terminal cancer. Advice to rationalize inappropriate drug regimens (53%) was the commonest intervention, followed by warnings about drug interactions (24%) and advice about therapeutic drug monitoring (8%). The interventions were evaluated by the pharmacist, a palliative medicine registrar and two independent doctors, confirming that the pharmacist was valid and accurate in assessing her own work. Although more than 60% of interventions could significantly improve patient care, compliance by medical and nursing staff with advice was only 55%, reflecting possible tensions between palliative and general hospital medicine. This survey emphasizes the role of liaison clinical pharmacists in palliative care, the need for much more critical appraisal of prescribing practices and the utility of ranking pharmacist interventions as a quality assurance and educational tool. In particular, providing palliative care for patients with advanced acquired immunodeficiency syndrome (AIDS) is enhanced when a pharmacist with a specialist knowledge of AIDS therapeutics is available.

  4. 护理管理中绩效考核的应用及价值评析%Application and Value of Performance Evaluation in Surgical Nursing Management

    Institute of Scientific and Technical Information of China (English)



    Objective To analyze the application effect and value of performance appraisal in surgical nursing management.Methods Our hospital began to implement performance appraisal in the process of nursing management since April 2015,the effect of nursing management in the six months before and after the implementation of performance appraisal (October 2014 to March 2015,April 2015 to October 2015), the effect of nursing management were evaluated and compared. Results Six months after the implementation of the performance appraisal, the nursing quality management scores,nursing document management scores,ward management scores,hospital infection scores and patient satisfaction scores were significantly improved,compared with the performance before the implementation of the comparison were statisticaly significant differences(P<0.05).Conclusion The application of performance appraisal in surgical nursing management is conducive to improving the quality of nursing and the overal level of nursing.%目的:分析研究护理管理中绩效考核的应用效果及价值。方法我院自2015年4月起开始在护理管理过程中实施绩效考核,分别对绩效考核实施前后各半年的时间内(2014年10月~2015年3月、2015年4月~2015年10月)护理管理的效果进行评价和比较。结果绩效考核实施半年后,护理质量管理评分、护理文书管理评分、病房管理评分、医院感染评分、以及患者满意度评分等均显著提高,与绩效考核实施前的比较均有统计学差异(P<0.05)。结论护理管理中绩效考核的应用有利于提高护理质量和整体护理水平。

  5. Nurses' Perceptions of Role, Team Performance, and Education Regarding Resuscitation in the Adult Medical-Surgical Patient. (United States)

    O'Donoghue, Sharon C; DeSanto-Madeya, Susan; Fealy, Natalie; Saba, Christine R; Smith, Stacey; McHugh, Allison T


    The purpose of this study was to explore nurses' perception of their roles, team performance, and educational needs during resuscitation using an electronic survey. Findings provide direction for clinical practice, nursing education, and future research to improve resuscitation care.

  6. 高职外科护理学课程的整体教学设计%The overall class design of the Surgical Nursing course in vocational nursing program

    Institute of Scientific and Technical Information of China (English)

    高国丽; 车光昇; 熊瑛; 张丽雁; 孙亚男; 刘鸿慧


    Objective To reform the class design of the Surgical Nursing course, to improve the teaching quality of the course, and to improve student nurses' clinical competency. Methods A total of 97 student nurses on higher vocational nursing program enrolled in 2008 were treated as the control group, and were taught Surgical Nursing with conventional methods. Totally, 95 student nurses admitted in 2009 were assigned into the observation group. Teachers processed the class design of Surgical Nursing, set up job-oriented contents, then implemented teaching according to the design. Results The practice performance score of the observation group was significantly higher than the control group(P<0. 01). Totally, 89. 66% clinical mentors believed that teaching based on the class design consolidated student nurses theoretical knowledge; 72. 41% thought the teaching method improved their nursing skills; 81. 03% deemed that the teaching could adapt student nurses to clinical work quickly. Conclusion The overall class design of the Surgical Nursing course significantly improves the quality of teaching and students clinical competency.%目的 改革高职外科护理学课程的整体设计,提高外科护理学的教学质量和护生临床工作能力.方法 选取2008级高职护理专业(英语班)97名护生作为对照组,采用传统的教学方法;2009级高职护理专业(英语班)95名护生为观察组,由教师对外科护理学课程进行整体设计,即以职业岗位需求确定课程整体目标,以职业活动为导向设计课程内容,之后按照设计方案实施教学.结果 观察组实践成绩显著高于对照组(P<0.01).89.66%临床带教教师认为按照外科护理学的整体设计方案实施教学,使实习护生的专业理论知识增强;72.41%认为提高他们的技能操作,81.03%认为能使护生快速适应临床工作.结论 外科护理学的整体教学设计,显著提高了教学质量和护生临床工作能力.

  7. 外科患者常见心理分析及护理对策%The mental analysis and nursing counter measurement of surgical patients

    Institute of Scientific and Technical Information of China (English)

    朱如意; 贾国荣


    通过研究外科患者存在的心理问题,给患者提供相应的心理护理,观察心理护理与疾病康复之间的关系.应用发放调查问卷的研究方法,收集外科患者面对各种应激出现的心理反应.不同年龄、不同性别的外科患者存在着不同程度的负面心理反应,通过因地制宜地实施心理护理,患者满意度大幅度增加,生活质量显著提高.心理护理在外科患者的整个护理过程中起着重要的作用.%To supply corresponding mental nursing for patients by investigating their psychic mattem, and to observe the relationshiop between mental nursing and recovery from illness. We collect all kinds of psychic reac-lions of patients under various kinds stress by questionnaires, and next to analyse the results. Surgical patients in different sex and age have different negtive mental reactions,such as helplessnees,gloomy,horror,anger and despair et al. Results show us that satisfactional degree and quality of life of patients increased significantly after providing specific mental nursing to different patients with various mental matters compared with the groups who had not ob-tain enough mental nursing. Mental nursing play an important role in complete care program of surgical patients.

  8. 加强外科护理管理有效预防医院感染%Strengthening surgical nursing management to prevent nosocomial infection

    Institute of Scientific and Technical Information of China (English)

    孙国芳; 叶兰英


    OBJECTIVE To discuss the importance of nursing management in nosocomial infection management and preventive measures. METHODS The sound and surgical nursing management system was established) the management and the training hospital infection were strengthened; strict disinfection and correct aseptic operation were performed) strict hand-washing system was implemented) surgical incision infection was prevented) antimicrobial drug was rationally used. RESULTS After management by the head nurse and better understarding the relevant knowledge and technology the hospital infection were greatly reduced the hospital. CONCLUSION Nursing management is an important part in nosocomial infection management, to strengthen the nursing management is the key to reduce and control nosocomial infection.%目的 探讨护理管理在医院感染管理中的重要性及预防医院感染的措施.方法建立完善的外科护理管理制度;充分发挥护士长的管理作用;加强医院感染知识的培训;强化控制感染意识;严格消毒,正确无菌操作;减少侵入性操作;严格洗手制度;预防手术切口感染;合理使用抗菌药物.结果通过护士长的管理及护理人员对预防医院感染的正确认识,掌握各项有关知识和技术,可以大幅度减少医院感染的发生.结论 护理管理是医院感染管理中的重要组成部分,加强外科护理管理工作是降低和控制医院感染的关键.

  9. Librarian-researcher cooperation with a liaison program

    Energy Technology Data Exchange (ETDEWEB)

    Ekkebus, A.E.


    During the four years of the liaison program, changes that have resulted include an increase in levels of library activity especially literature searching (a 60% increase in three years), a willingness by researchers to make their information needs known, and the development of a responsive collection. Surveys of recipients of the literature searches have indicated high satisfaction of the search results. The liaison program encourages communication between the reference librarian and researcher and better enables the library to attain its objective of interpreting and meeting the information needs of its users.

  10. [New perspective in liaison psychiatry. Experience at the Pediatric Hospital of the National Medical Center Siglo XXI]. (United States)

    Sauceda García, J M; Maldonado Durán, J M; Angel Montoya Cabrera, M


    In hospitalized and chronically ill children, the prevalence of psychopathology is very high. It is necessary that in its prevention, diagnosis and treatment not only professionals of the mental health disciplines intervene but also that the pediatricians, nurses and the family of the patient himself participate actively. Consultation Liaison Child Psychiatry activities at the Pediatric Hospital of the National Medical Center "Siglo XXI" are described. Its goal is to incorporate the mental health professional to the team of hospital care and promote that pediatricians gain a greater conscience of psychological and social factors that are crucial for the sick child.

  11. Nursing of laparoscopic surgical in treatment of patients with ectopic pregnancy%腹腔镜手术治疗宫外孕患者的护理

    Institute of Scientific and Technical Information of China (English)



    Objective:To investigate nursing interventions of patients with ectopic pregnancy in treatment with laparoscopic surgery.Methods:252 cases of laparoscopic surgical treatment of patients with ectopic pregnancy give comprehensive nursing measures,includ emergency care,psychological care,surgical care and discharge instructions.Results:Patients with ectopic pregnancy in this group were all discharged with no serious complication.Conclusion:Positive and complete clinical nursing measures are important to enhance the success rate of laparoscopic surgery,as well as to improve postoperative rehabilitation for patients with ectopic pregnancy.%目的:探讨腹腔镜手术治疗宫外孕患者的护理措施.方法:对行腹腔镜手术治疗的252例宫外孕患者给予完善的护理措施,包括急救护理、心理护理、手术护理及出院指导.结果:本组宫外孕患者均痊愈出院,未发生严重并发症.结论:积极、完善的临床护理措施对提高腹腔镜手术成功率、促进宫外孕患者术后康复具有重要意义.

  12. Paracetamol and Preterm Infants: a painless liaison?

    NARCIS (Netherlands)

    D.W.E. Roofthooft (Daniella)


    markdownabstract__Abstract__ In the late 1980s there was a true turnabout on the important issue of neonatal pain. Then, Anand and co-workers [1, 2], published a trial on preterm infants randomly allocated to fentanyl with a muscle relaxant or muscle relaxant only during surgical patent ductus arte

  13. The Rhythmic Group, Liaison, Nouns and Verbs of French (United States)

    Ashby, William J.


    The "rhythmic group" in French (noun group or verb group) is described with examples. The aim is to find some relation between the morphophonological phenomena such as "liaison" occurring within such rhythmic groups and the syntactic structure of French. Available from Liber Laeromedel, Box 1205, S-22105 Lund, Sweden. (TL)

  14. The Rhythmic Group, Liaison, Nouns and Verbs of French (United States)

    Ashby, William J.


    The "rhythmic group" in French (noun group or verb group) is described with examples. The aim is to find some relation between the morphophonological phenomena such as "liaison" occurring within such rhythmic groups and the syntactic structure of French. Available from Liber Laeromedel, Box 1205, S-22105 Lund, Sweden. (TL)

  15. Study on Effect of Humanistic Nursing Care on Quality of Thoracic Surgical Nursing%人性化护理对胸外科护理质量影响的研究

    Institute of Scientific and Technical Information of China (English)

    黄文静; 张静芳


    Objective To analyze and explore the effectiveness of humanistic nursing care on patients with thoracic surgery, and to evaluate the application value of humanistic nursing care in improving the quality of thoracic surgical nursing care. Methods A total of 120 inpatients scheduled for thoracic surgery were randomly divided into control group and experiment group (eachn=60) according to the order of admission. Routine nursing care was taken in control group, while additional humanistic nursing care was applied in experiment group. The satisfaction degree, the score of care quality, the average days of hos-pitalization, and the incidence of complications were compared between the two groups. Results As compared with control group, the satisfaction degree and the score of care quality in experiment group were significantly improved, and the differences were statistically significant (P<0.05). The average days of hospitalization and the incidence of complications in experiment group were significantly lower than those in control group, and the differences were statistically significant (P<0.05). Conclusions Applying humanistic nursing care in patients with thoracic surgery can not only improve the nursing quality of medical professionals, but significantly increase the satisfaction degree of patients with thoracic surgery. It has better shown the holistic nursing connotation of "patient - centered nursing", and is worthy of being popularized in thoracic surgical nursing care and other treatments.%目的 分析探讨人性化护理在胸外科手术患者护理中的效果,评价人性化护理在提高胸外科护理质量中的应用价值.方法 胸外科择期手术住院的患者共120例,按入院的先后顺序随机分为对照组60例和试验组60例,对照组进行胸外科手术常规护理,试验组在对照组的基础上加以人性化的护理,对护理后两组患者的满意度、护理质量评分、平均住院天数及并发症的发生率分

  16. Nursing Intervention on Surgical Patients with Enteral Nutrition%外科重症患者肠内营养的护理干预

    Institute of Scientific and Technical Information of China (English)



    目的:探讨外科重症患者肠内营养的护理干预效果。方法收集我院收治的外科重症80例患者资料,将患者随机分为干预组和对照组,各40例。干预组患者给予肠内营养护理干预,对照组患者给予常规护理干预,比较两组患者胃肠功能恢复情况。结果干预组患者的肛门排便时间和排气时间均明显短于对照组,差异均有统计学意义(均P<0.05)。结论外科重症患者给予肠内营养护理有助于补充患者身体所需的营养和能量,增加患者机体的免疫力,避免患者术后因营养不良而给康复带来的影响,促进患者早日康复。%Objective To discuss the effect of surgical patients with enteral nutrition nursing intervention.Methods 80 surgical critical y il patients in our hospital were selected were randomly divided into intervention group and control group,each of 40 cases.The patients in the intervention group were given enteral nutrition nursing intervention,the control group patients were given routine nursing care,compared two groups of gastrointestinal function recovery. Results The after care,patients in the intervention group were anal defecation time and exhaust time were significantly shorter than the control group,the difference was statistical y significant(P<0.05).Conclusion Surgical patients with enteral nutrition nursing intervention is helpfulto supplement the patient body needed nutrients and energy,and increase patients immunity,prevent patients due to malnutrition and to influence rehabilitation brings,and promote an early recovery of patients.

  17. Embeddedness Creates Opportunities for Enhanced Library Liaison Services and Relationships

    Directory of Open Access Journals (Sweden)

    Richard Hayman


    Full Text Available A Review of: O’Toole, E., Barham, R., & Monahan, J. (2016. The impact of physically embedded librarianship on academic departments. portal: Libraries and the Academy, 16(3, 529-556. Objective – To examine whether liaison librarian interactions increase when librarians are physically embedded in their liaison areas. Design – Natural experiment using quantitative measures. Setting – A large, public university in the United States of America. Subjects – Liaison librarian reference interactions. Methods – This research is organized around four primary research questions that examine the effect of liaison librarian physical, co-located embeddedness on the following: 1 the frequency of walk-up reference transactions of the embedded location versus the service desk; 2 the frequency of reference and instructional transactions with liaison areas after the implementation of embedded services; 3 the frequency of walk-up transactions at embedded sites compared to the number of reference and instructional transactions after embeddedness began; and 4 liaison librarian participation in new collaborative or integrative activities with their liaison areas. Researchers used data collected between Fall 2012 and Spring 2014 and compared this to data collected in the pre-embedded period for Fall 2010 to Fall 2011. Data sources included the library’s locally developed reference services statistics tracking tool, individual librarians’ calendar appointment records, and librarian performance agreements. The analysis uses descriptive statistics. Main Results – Researchers discovered a decrease in the frequency of liaison librarians’ walk-up reference transactions at the service desk, as tracked by transactions per hour, occurring before the transition, during the transition, and after the transition to embedded librarianship. They note a decrease of 45% in the number of walk-up interactions at service points

  18. 断指再植术护理配合与体会%The Surgical Nursing Cooperation and Experience of Severed Finger Replantation

    Institute of Scientific and Technical Information of China (English)

    范晓勇; 郭明琴; 李香玲


    目的:探讨断指再植手术的最佳手术配合方式。方法:对57例断指再植患者(108指)的心理护理、物品器械准备、手术中洗手、巡回护士的配合及术中出现特殊情况的护理配合等进行回顾。结果:经过3个月的随访,其中2例患者(3指)因受伤时间过长、伤口污染严重,术后出现感染,血管破裂导致截指;2例患者(4指)再植成功后因指动脉栓塞无法吻合而截指外,其他患者断指再植全部成活。结论:术前的准备工作、有效的心理护理、术中的精心护理,可以降低发生血管危象的几率;严格执行无菌操作、熟练地护理配合能有效缩短手术的时间,减少伤口感染,提高再植成活率。%Objective:To discuss the optimal surgical nursing cooperation of severed finger replantation. Method:The situations such as the psychological nursing of 57 patients(108 fingers)with severed finger replantation,the preparation of articles and instruments,the cooperation of scrub nurses and circulating nurses during the operation,the surgical nursing cooperation with special situations appeared during the operation were reviewed. Result:By 3 months of follow-up,because of too long injury time and serious wound contamination,infection and angiorrhexis occur in 2 patients(3 fingers)among them after the operation,which lead to cut the severed fingers. 2 patients(4 fingers)had been cut the severed fingers after the successful replantation because the fingers can not match on account of artery embolization. Beyond that,the other patients’severed fingers were all survived after the replantation. Conclusion:The preoperative preparation work,effective psychological nursing and intraoperative meticulous nursing can reduce the probability of vascular crisis. Strictly executing aseptic manipulation and skillfully nursing cooperation can effectively shorten the operation time,reduce the wound infection and improve the

  19. [Gerontopsychiatric problems in a consultation-liaison practice]. (United States)

    Gazdag, Gábor; Sebestyén, Gábor


    The most effective way for the diagnosing and the treatment of psychopathological symptoms appearing in non-psychiatric hospitalized patients is the utilization of consultation-liaison psychiatry. With the increasing number of the elderly patients, number of appearing gerontopsychiatric problems in consultation work is also growing. We have studied among the patients of a consultation-liaison service the problems which led to the psychiatric consultations, the diagnoses which were set up, the concomitant somatic disorders and the treatment recommendations. We have retrospectively studied the data of the patients in the consultation-liaison service of St. László Hospital. 77% of the consultations were asked from internal medicine. Most frequent reason of the requests were the presence of any psychiatric symptom, but unexplained somatic complains were also common. Gerontopsychiatric problems were most frequently associated to cardiovascular disorders. Demencia and delirium were the most frequent diagnoses. The rate of affective disorders was higher than reported in the literature. Consultations were most frequently asked for non-compliance in patients with demencia, and for unexplained somatic complain in affective disorders. Most frequent reason of psychiatric referrals was symptoms of delirium. Authors try to explain these results in accordance with the literature.

  20. Transfers to psychiatry through the consultation-liaison psychiatry service: 11 years of experience

    Directory of Open Access Journals (Sweden)

    Michopoulos Ioannis


    Full Text Available Abstract Background There are only a few reports on issues related to patient transfer from medical and surgical departments to the psychiatric ward by the consultation-liaison psychiatry service, although it is a common practice. Here, we present a study assessing the factors that influence such transfers. Method We examined the demographic and clinical backgrounds of a group of patients transferred from internal medicine and surgery to the psychiatric ward over an 11-year period. A comparison was made of this data with data obtained from a group of non-transferred patients, also seen by the same consultation-liaison psychiatry service. Results According to our findings, the typical transferred patient, either female or male, is single, divorced or widowed, lives alone, belongs to a lower socioeconomic class, presents initially with (on the whole a disturbed and disruptive behaviour, has had a recent suicide attempt with persistent suicidal ideas, suffers from a mood disorder (mainly depressive and dysthymic disorders, has a prior psychiatric history as well as a prior psychiatric inpatient treatment, and a positive diagnosis on axis II of the five axis system used for mental health diagnosis. Conclusion The transfer of a patient to the psychiatric ward is a decision depending on multiple factors. Medical diagnoses do not seem to play a major role in the transfer to the psychiatric ward. From the psychiatric diagnosis, depressive and dysthymic disorders are the most common in the transferred population, whilst the transfer is influenced by social factors regarding the patient, the patient's behaviour, the conditions in the ward she/he is treated in and any recent occurrence(s that increase the anxiety of the staff.

  1. 音乐疗法对手术室护士心理状态的影响%Influence of music therapy on nurses' psychology in surgical department.

    Institute of Scientific and Technical Information of China (English)

    符林秋; 钟文菲; 高星; 许晨耘; 高允锁


    Objective To study the influence of music therapy to nurses' psychology in surgical department.Methods Using two stage cross-over designs method, nurses in surgical department listened to two different musicnational music and western music for 20 minutes before and after operation respectively, SCL-90 scale was used to assess the nurses' psychology before music therapy, the first stage and the second stage after music therapy. Results Before music therapy, the score of the SCL-90 subscales somatization was higher than that in general crowd (1.441±0.440), which indicated that nurses' bodies were uncomfortable; according to variance analysis of the two stage cross-over design material there was no difference between two stage and no difference between two musics.Compared with the score before music therapy, two music in the first stage had significant difference respectively (p<0.001). Conclusion tMusic therapy can improve nurses' psychological state and promote nurses' psychologically more healthy in surgical department.%目的 研究音乐疗法对手术室护士心理状态的影响.方法 采用二阶段交叉设计方法,手术室护士随机分为两组倾听两种音乐-民族音乐和西洋音乐,术前、术后分别倾听20 min,并于音乐治疗前、音乐治疗后第一阶段、第二阶段分别用SCL-90症状自评量表评价手术室护士的心理状态.结果 音乐疗法前SCL-90各因子得分中,躯体化因子得分为(1.441±0.440)分,高于常模,说明护理人员存在身体不适感;根据二阶段交叉设计资料的方差分析,两阶段间SCL-90因子得分差异无统计学意义(F=0.75,P=0.391);两种音乐间SCL-90因子得分差异无统计学意义(F=0.52,P=0.473);第一阶段两组音乐与基线比较P<0.001,差异均有显著统计学意义.结论 音乐疗法可有效改善手术室护理人员的心理状态,促进心理健康.

  2. 围术期心理护理干预对外科手术患者康复的影响%The Effect of Perioperative Psychological Nursing Intervention on Rehabilitation of Surgical Operation Patients

    Institute of Scientific and Technical Information of China (English)

    何洪莉; 陈朝芝


    目的:为了进一步研究和探讨围术期心理护理干预对外科手术患者康复的临床实际影响.方法:选取2010年12月-2013年10月笔者所在医院临床收治的外科手术患者136例为研究对象,随机分为两组,常规护理组采取给予常规护理,心理护理组在此基础上采用心理护理,对两组康复效果进行比较.结果:心理护理组肠鸣音恢复时间、排便时间和住院时间明显低于常规护理组,差异有统计学意义(P<0.05);心理护理组患者的临床护理不满意率低于常规护理组,差异有统计学意义(P<0.05).结论:在临床对外科手术患者实施临床护理干预的实践过程中,在常规护理基础上采用心理护理干预后患者临床康复效果更好.%Objective:To further explore and study the clinical effect of perioperative nursing intervention on rehabilitation of surgical patients. Method:136 cases of surgical patients admitted to our hospital from December 2010 to October 2013 were chosen as the research objects.They were randomly divided into two groups,the traditional nursing group was given traditional nursing,the psychological nursing group was given psychological nursing on the basis of traditional nursing,the rehabilitation effects were compared.Result:The recovery time of bowel sounds,defecating time and hospital stay in the psychological nursing group were lower than those in the traditional nursing group,there were statistical significance(P<0.05).The dissatisfied level of the clinical nursing between the two groups,the dissatisfaction rate in the psychological care group was lower than that in the traditional nursing group,and the difference was statistical significance(P<0.05).Conclusion:In the practice of clinical nursing interventions for surgical patients,the use of psychological nursing intervention on the basis of traditional nursing is better clinical rehabilitation.

  3. Intersubjectivity, social microcosm, and the here-and-now in a support group for nurses. (United States)

    Brandman, W


    Intersubjectivity, a concept from Watson's nursing model is interwoven with the group dynamics of social microcosm and the here-and-now. Examples from a graduate nursing student's clinical experience illustrate the application of a transpersonal dynamic, formerly associated with dyads, to interactions between a nurse and a support group. A psychiatric consultation liaison nurse specialist student facilitates a support group for registered nurses in a neurological intensive care unit, in response to a group-perceived need to improve communications between nurses, nurses and patients, and nurses and physicians. Discovery and processing of hidden anger and pain activates healing for these nurses.

  4. Effect of Nursing Intervention on Surgical Patients with Sleep Disorders%护理干预对手术患者睡眠障碍的影响

    Institute of Scientific and Technical Information of China (English)

    夏先萍; 张贵清


      Objective TO investigate methods of care to reduce the sleep disorders of surgical patients. Methods 280 cases with surgical patients in our hospital from March 2010 to July 2010 were as the control group,280 cases with surgical patients in our hos-pital from August 2010 to December 2010 were as the experimental group. The control group received normal care, the experimental group carried out the appropriate nursing intervention in addition to normal care. Sleep of two groups were surveyed. Patients with sleep disorders were surveyed the types and causes of sleep disorders with the self-questionnaire. Results The control group had 120 cases with sleep disorders, experimental group had 45 cases with sleep disorders, there was statistically significant differences be-tween the two groups(P0.05). Conclusion Nursing intervention can improve the sleep position of the surgical patients and reduce the incidence of sleep disorders, but it can not effect on the typing of of sleep disorder Significantly.%  目的探讨减轻手术患者睡眠障碍的护理方法.方法选择本院2010年3月~2010年7月的手术患者280例患者为对照组,2010年8月~2010年12月的280例手术患者为实验组.对照组采用常规护理,实验组除常规护理外,进行相应的护理干预.比较2组患者的睡眠状况,并对睡眠障碍的患者采用自拟问卷方式调查睡眠障碍类型及原因.结果对照组出现睡眠障碍120例,实验组睡眠障碍45例,2组比较差异具有统计学意义(P0.05).结论护理干预能改善手术患者的睡眠状况,减少睡眠障碍的发生,但对睡眠障碍分型无明显影响.

  5. Survey compare team based learning and lecture teaching method, on learning-teaching process nursing student\\'s, in Surgical and Internal Diseases course

    Directory of Open Access Journals (Sweden)

    AA Vaezi


    Full Text Available Introduction: The effect of teaching methods on learning process of students will help teachers to improve the quality of teaching by selecting an appropriate method. This study aimed to compare the team- based learning and lecture teaching method on learning-teaching process of nursing students in surgical and internal diseases courses. Method: This quasi-experimental study was carried on the nursing students in the School of Nursing and Midwifery in Yazd and Meybod cities. Studied sample was all of the students in the sixth term in the Faculty of Nursing in Yazd (48 persons and the Faculty of Nursing in Meybod (28 persons. The rate of students' learning through lecture was measured using MCQ tests and teaching based on team-based learning (TBL method was run using MCQ tests (IRAT, GRAT, Appeals and Task group. Therefore, in order to examine the students' satisfaction about the TBL method, a 5-point Likert scale (translated questionnaire (1=completely disagree, 2= disagree, 3=not effective, 4=agree, and 5=completely agree consisted of 22 items was utilized. The reliability and validity of this translated questionnaire was measured. The collected data were analyzed through SPSS 17.0 using descriptive and analytical statistic. Result: The results showed that the mean scores in team-based learning were meaningful in individual assessment (17±84 and assessment group (17.2±1.17. The mean of overall scores in TBL method (17.84±0.98% was higher compared with the lecture teaching method (16±2.31. Most of the students believed that TBL method has improved their interpersonal and group interaction skills (100%. Among them, 97.7% of students mentioned that this method (TBL helped them to understand the course content better. The lowest levels of the satisfaction have related to the continuous learning during lifelong (51.2%. Conclusion: The results of the present study showed that the TBL method led to improving the communication skills, understanding

  6. Audit of an inpatient liaison psychiatry consultation service.

    LENUS (Irish Health Repository)

    Lyne, John


    PURPOSE: The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. DESIGN\\/METHODOLOGY\\/APPROACH: All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. FINDINGS: A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium\\/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. PRACTICAL IMPLICATIONS: Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. ORIGINALITY\\/VALUE: This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.

  7. Subject Liaisons in Academic Libraries: An Open Access Data Set from 2015 (United States)

    Nero, Neil; Langley, Anne


    The work of subject liaison librarians in academic libraries has morphed to include a variety of roles that reach beyond the traditional. This study captures responses of 1,808 participants from land-grant, Oberlin Group, and Association of Research Libraries (ARL) institutions to a questionnaire about subject liaison librarians. The questionnaire…

  8. Consultation-Liaison psychiatric service delivery : results from a European study

    NARCIS (Netherlands)

    Huyse, FJ; Herzog, T; Lobo, A; Malt, UF; Opmeer, BC; Stein, B; de Jonge, P; van Dijck, R; Creed, F; Crespo, MD; Cardoso, G; Guimaraes-Lopes, R; Mayou, R; van Moffaert, M; Rigatelli, M; Sakkas, P; Tienari, P


    The reported Endings of the European Consultation-Liaison Workgroup (ECLW) Collaborative Study describe consultation-liaison service delivery by 56 services from ZI European countries aggregated on a C-L service level. During the period of 1 year (1991), the participants applied a standardized, reli

  9. Subject Liaisons in Academic Libraries: An Open Access Data Set from 2015 (United States)

    Nero, Neil; Langley, Anne


    The work of subject liaison librarians in academic libraries has morphed to include a variety of roles that reach beyond the traditional. This study captures responses of 1,808 participants from land-grant, Oberlin Group, and Association of Research Libraries (ARL) institutions to a questionnaire about subject liaison librarians. The questionnaire…

  10. Integration of a psychoanalytic liaison department at a public hospital. (United States)

    Neuburger, R P


    A general overview of liaison-psychoanalysis in a general hospital is presented. The team's trajectory is revisited, as generating a presence in the inpatient units: a demand which changes from a purely psychiatric, scarcely operative level to an acknowledgment of subjectivity. Generally, this appears disruptively in medical proceedings. Two case histories are presented: (i) 'the tenant' and (ii) 'the nail-polishing file'. With regard to the first case history, the transference in its double aspect, with the patient as well as with the unit's staff, is examined. The analyst's intervention seeks to untangle the impasse, which prevents the physicians from helping the patient. With regard to the second case history, in which the de-mystification aspects of liaison work are shown, the horror that the so-called 'mental illness' can produce in the medical institution is explored. The aim of narrating this experience is to preserve a psy-space in the hospital where the overwhelming technological developments menace with its disappearance.

  11. 外科护士在工作中的危险因素和安全防护%Risk Factors of Surgical Nurses in the Work and Safety Protection

    Institute of Scientific and Technical Information of China (English)

    张丽; 侯晓丽; 张慧培


    The hospital environment is special, there are many safe hidden trouble, the nurse unique working environment and service objectdetermines the nurses often faced all kinds of danger in the work process, in order to improve the nurses' knowledge of the work of risk factors, reduce the occurrence of accident, has very important significance to do the safety protection. The au-thor will study the dangerfactors in the work environment of surgical nurses, and combined with the personal point of view, puts forward some measures of safety protection, the aim is to enhance the ability of identification and protection of surgical nurses' a-bility of risk factors, the surgical nurses in their daily work, from the dangerous factors of poison.%医院环境特殊,存在诸多安全隐患,护士独特的工作环境及服务对象决定了护士在工作过程中常常面临各种各样的危险,为提高护士对工作中危险因素的认识,降低意外事故的发生,做好安全防护具有非常重要的意义。该研究将对外科护士工作环境中存在的危险因素进行研究,并结合个人观点,提出几点安全防护措施,旨在增强外科护士对危险因素的鉴别能力与防护能力,使外科护士在日常工作中,免遭危险因素的荼毒。

  12. 手术室优质护理对手术部位感染影响的分析%Impact of high-quality nursing on surgical site infections in operating rooms

    Institute of Scientific and Technical Information of China (English)

    张彩霞; 郑建萍; 杨东; 张敏丽; 姚霞


    OBJECTIVE To explore the impact of high-quality nursing on surgical site infections in operating rooms . METHODS In Apr 2012 ,the high-quality nursing was carried out to strengthen the organization and nursing man-agement ,improve nursing quality ,and enhance the environment of the operating rooms as well as the management of surgery ,then the monitoring indicators of control of the surgical site infections in Apr-Sep 2011 and Apr-Sep 2012 were analyzed ,and the quality of control of the surgical site infections was compared between before and after the conduct of high-quality nursing .RESULTS Before the conduct of high-quality nursing ,the surgical site infec-tions occurred in 60 of 6 386 patients who underwent the surgery ,with the infection rate of 0 .94% ;after the con-duct of high-quality nursing ,the surgical site infections occurred in 53 of 7 561 patients who underwent the surger-y ,with the infection rate of 0 .70% .The qualified rates of the surgical hand disinfection ,common hand washing , surveillance of air ,surveillance of object surfaces ,and environmental health were respectively 93 .33% ,86 .67% , 97 .22% ,88 .89% ,and 82 .86% before the conduct of high-quality nursing and were respectively 100 .00% ,and 96 .67% ,100 .00% ,94 .44% ,and 97 .77% after the conduct of high-quality nursing .CONCLUSION The conduct of high-quality nursing can promote the control of surgical site infections in the operating rooms .%目的:探讨手术室开展优质护理对手术部位感染的影响。方法2012年4月手术室开展以加强组织、护理管理,提高护理质量,加强手术室环境及手术管理为重点内容的优质护理服务;对2011年4-9月及2012年4-9月手术部位感染管理的各项监测进行分析,比较开展优质护理服务前后手术部位感染控制的质量。结果开展优质护理活动前,外科手术患者6386例,发生手术部位感染60例,感染率0.94%;开展优质护理

  13. 内外科护理学跨专科教学初探%Primary Investigation of Interdisciplinary Teaching in Medical and Surgical Nursing Sciences

    Institute of Scientific and Technical Information of China (English)

    陆萍静; 寇玲; 等


    In order to optimize the teaching content and build a new teaching system, part teaching contents of medical and surgical nursing sciences were taught interdisciplinarily. The results showed that the class hours of interdisciplinary teaching were shortened by 10 hours (12/22) as compared with those of conventional teaching method and the examination records were improved. 83.3% students were satisfactory with this interdisciplinary teaching. 93.3% students considered that their abilities of analyzing and expressing were improved. However, there were 20.0% students not adapting to the interdisciplinary teaching. It was suggested that interdisciplinary teaching of part teaching contents of nursing science was beneficial to the improvement of the students' comprehensive quality, could shorten the class hours and could be used as a complementary teaching method during the subject teaching.%为优化教学内容,构建新的教学体系,对内、外科护理学部分教学内容进行跨专科授课。结果课时较传统教学法缩短10学时(12/22);考试成绩有所提高;83.3%学生对本次教学满意,93.3%学生认为自己分析问题、表达问题的能力有所提高。尚有20.0%学生不太适应这种教学形式。由此认为,护理学科部分内容实行跨专科教学可缩短学时,有利于学生综合素质的提高,可作为分科教学的补充教学方式,互补共存,相得益彰。

  14. The surgical cooperation and nurse strategy in total arch replacement combined with stented elephant trunk implantation%主动脉全弓置换联合支架象鼻手术的手术配合及护理

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the surgical cooperation with traveling nurse in total arch replacement combined with stented elephant trunk implantation for Stanford A aortic dissection, and discuss the nursing strategy in perioperative. Methods The effect of tour nursing with 15 patients who were operated total arch replacement combined with stented elephant trunk implantation in cardiopulmonary bypass, and how to collaborate with traveling nurse better were analyzed. Results All the cases were operated successfully, the cooperation between instrument nurse and traveling nurse were very good, the patients returned to intensive care unit safely after operation. Conclusion The nurse should acquaint the information of patients before operation, know the process of surgery, get fully prepared before surgery, to ensure the surgical process to go smoothly.%目的 探讨主动脉全弓置换联合支架象鼻术治疗主动脉夹层的手术配合及护理.方法 分析15例在体外循环下行主动脉全弓置换联合支架象鼻术手术的器械配合及巡回护理的效果.结果 本组病例均顺利完成手术,术中器械及巡回护士配合达到预期的效果,患者术后安返监护室.结论 手术室护士术前必须充分了解患者的病情,熟悉手术操作过程,做好术前各种准备,术中才能配合默契,有利于手术的顺利进行.

  15. Effectiveness of a liaison program in meeting information needs of college of pharmacy faculty. (United States)

    Kramer, Sandra S; Martin, Jennifer R; Schlimgen, Joan B; Slack, Marion K; Martin, Jim


    This article describes the creation and implementation of focus groups to evaluate the effectiveness of a health sciences library's liaison program of the College of Pharmacy faculty and to better understand the faculty's information needs in order to design new and improved library services. The liaison services support the teaching and research needs of faculty and students through literature research, classroom teaching, and an extensive library collection of pharmacy literature. Focus group results demonstrated a high level of satisfaction with library liaison services and collections. Opportunities exist for expanded interaction with graduate students and greater marketing of library services to increase faculty awareness of specific library programs.

  16. Fracture liaison services: improving outcomes for patients with osteoporosis

    Directory of Open Access Journals (Sweden)

    Walters S


    Full Text Available Samuel Walters,1 Tanvir Khan,2 Terence Ong,3,4 Opinder Sahota3 1East Midlands Major Trauma Centre, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 2Department of Orthopaedics, Trauma and Sports Medicine, University of Nottingham, 3Department for Healthcare of Older People, Queens Medical Centre, Nottingham University Hospitals NHS Trust, 4Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK Abstract: Fragility fractures are sentinels of osteoporosis, and as such all patients with low-trauma fractures should be considered for further investigation for osteoporosis and, if confirmed, started on osteoporosis medication. Fracture liaison services (FLSs with varying models of care are in place to take responsibility for this investigative and treatment process. This review aims to describe outcomes for patients with osteoporotic fragility fractures as part of FLSs. The most intensive service that includes identification, assessment and treatment of patients appears to deliver the best outcomes. This FLS model is associated with reduction in re-fracture risk (hazard ratio [HR] 0.18–0.67 over 2–4 years, reduced mortality (HR 0.65 over 2 years, increased assessment of bone mineral density (relative risk [RR] 2–3, increased treatment initiation (RR 1.5–4.25 and adherence to treatment (65%–88% at 1 year and is cost-effective. In response to this evidence, key organizations and stakeholders have published guidance and framework to ensure that best practice in FLSs is delivered. Keywords: fracture liaison service, fractures, fall, osteoporosis, aged

  17. Research on the effect of performance appraisal in surgical nursing management%绩效考核在外科护理管理中的效果研究

    Institute of Scientific and Technical Information of China (English)

    陶小芝; 李承凤


    Objective To study the effect of performance appraisal in surgical nursing management.Methods According to the nursing post develop performance evaluation’s standard,we compared the implementation of nursing quality and nursing service satisfaction performanceof 201 2,before carrying out the effect of performance appraisal with that of 201 3.Results From 201 3 in basic nursing,nursing,hospital infec-tion,critical care,patient satisfaction and nursing documents writing,ward management index scores were higher than 201 2 (P<0.05),nurs-ing errors decreased significantly after the implementation of performance appraisal (P<0.01 ),and nursing service satisfaction performanceof inpatients was improved after the effect of performance appraisal(P<0.05 ).Conclusion Through the implementation of the performance appraisal,the working enthusiasm of nurses,nursing quality,nursing service satisfaction can be improved,reflecting the higherquality service.%目的:研究绩效考核在外科护理管理中的作用效果。方法根据护理岗位制定绩效考核标准,比较2012年和2013年实施绩效考核前后的护理质量和护理服务满意度。结果2013年在基础护理、整体护理、医院感染、危重患者护理、患者满意度和护理文件书写、病房管理等指标得分均高于2012年(P<0.05),绩效考核实施后护理差错明显减少(P<0.01),且绩效考核后住院患者对护理服务满意度也得到提高(P<0.05)。结论通过实施绩效考核,护士工作积极性、护理质量、护理服务满意度都得到提高,进一步体现了优质服务。

  18. Liaison concatenation – A method to obtain feasible assembly sequences from 3D-CAD product

    Indian Academy of Sciences (India)

    M V A Raju Bahubalendruni; Bibhuti Bhusan Biswal


    Selection of optimized assembly sequence from the available feasible assembly sequences is significantly essential to achieve cost-effective manufacturing process. To achieve this, at the outset, generation of feasible assembly sequences with topological, geometrical, precedence and stability conditions should be generated. The increase of part count in a product results huge number of assembly sequences, the Liaison matrix/Liaison graph generated based on the connections between the assembly components eliminates nonpossible assembly sequences at the initial phase. There exist methods namely cut-set method to eliminate the non-possible assembly sequences using liaison graph. In this paper a new approach to eliminate the non-possible assembly sequences based on liaisons is described and the correctness of the methodology is illustrated with an example. The methodology to obtain the feasible assembly sequences is also briefly described and presented. An algorithm to interface with the CAD environment is described briefly.

  19. Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome

    DEFF Research Database (Denmark)

    Beck, A; Andersen, U. T.; Leedo, E


    (70 + years and at nutritional risk) at discharge. INTERVENTIONS: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing...... an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. MAIN MEASURES: Nutritional status (weight......OBJECTIVES: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. DESIGN: Twelve-week randomized controlled trial. SETTING AND SUBJECTS: Geriatric patients...

  20. Financial impact of accurate discharge coding in a liaison psychiatry service.

    LENUS (Irish Health Repository)

    Jordan, Iain


    Previous research has shown that patients seen by liaison psychiatry services are a complex and expensive patient group and that the psychiatric co-morbidities of hospital inpatients are poorly attested at discharge for assignment to diagnosis-related groups (DRGs). The aim of this study was to investigate the accuracy of discharge coding in a neuropsychiatry liaison population. We also aimed to establish whether or not, had the correct diagnosis been assigned, additional funding would have been allocated to the hospital.

  1. Effect of Evidence-based Nursing Model on Survial Quality of Surgical Patients%循证护理模式对外科患者生存质量的影响

    Institute of Scientific and Technical Information of China (English)



    目的:探讨外科患者生存质量的改善过程中,应用循证护理模式的临床效果。方法:将某院2013年6月~2014年6月收治的100例外科患者随机分为观察组与对照组各50例,对照组给予常规护理,观察组给予循证护理模式。结果:对比两组患者护理前后的 HAMD和 HAMA 评分,护理前两组患者评分无明显差异(P>0.05),无统计学意义;护理后,观察组评分明显低于对照组(P<0.05),具有统计学意义。结论:外科患者的护理过程中,应用循证护理模式具有较好效果,值得临床推广。%Objective:To investigate the clinical effect of evidence‐based nursing model in the process of improving the survial quality of surgical patients .Methods:Randomly divide 100 cases of surgical patients re‐ceived in some hospital into observation group and control group ,50 cases for each group .Treating the con‐trol group with usual care while the observation group with evidence‐based nursing .Results:Compare the scores of HAMD and HAMA of the two groups before and after nursing .Before nursing ,the scores of the two groups were not obviously different(P>0 .05) ,it was not statistically significant ,while after nursing , the score of the observation group was obviously lower than that of the control group(P<0 .05) ,it was sta‐tistically significant .Conclusion:It is effective to nurse surgical patients with evidence‐based nursing and it is worthy of clinical promotion .

  2. Opening the ‘black box’: liaison psychiatry services and what they actually do (United States)

    Guthrie, Elspeth; McMeekin, Aaron; Thomasson, Rachel; Khan, Sylvia; Makin, Sally; Shaw, Ben; Longson, Damien


    Aims and method To develop a simple, pragmatic typology to characterise the nature of liaison interventions delivered by a liaison service in a National Health Service setting. We carried out a retrospective electronic case-note review of referrals to a ward-based liaison psychiatry service. Results Three hundred and forty-four patients were referred to the service over a 12-month period. Ten different types of liaison interventions were identified, with the most common interventions being diagnosis (112 patients, 32.6%), medication management (57 patients, 16.6%), risk assessment and treatment (56 patients, 16.3% each). Mental Health Act work accounted for the greatest number of contacts per patient (median 7). Clinical implications There are inherent limitations in any single-site observational study, as site-specific results cannot be generalised to other liaison services. The intervention categories we developed, however, are easy to use and will provide a way of comparing and benchmarking the range of interventions delivered by different liaison psychiatry services. PMID:27512583

  3. Observation of Nursing Intervention on the Prevention of Surgical Wound Infection in Operation Room%护理干预对手术室外科伤口感染的预防效果观察

    Institute of Scientific and Technical Information of China (English)



    目的:分析护理干预对手术室外科伤口感染的预防效果。方法将158例患者分为A、B两组各79例,分别给予护理干预及常规护理,分析两组护理效果。结果A组甲级愈合率高于B组,伤口感染率A组2.5%低于B组13.9%,P<0.05。结论护理干预可预防手术室外科伤口感染。%Objective To analyze the effect of nursing intervention on the prevention of surgical wound infection in operation room. Methods 158 patients were randomly divided into A,B two groups with 79 cases in each group,they were given nursing intervention and routine nursing care,the nursing effect of two groups were analyzed. Results In group A,Class-A healing rate was significantly higher than that of group B,wound infection in group A was 2.5%,lower than that in group B which was 13.9%,P<0.05. Conclusion Nursing intervention can prevent wound infection in operation room.

  4. Nursing care of postoperative incision pain of surgical patients%外科病人术后切口疼痛的护理

    Institute of Scientific and Technical Information of China (English)

    赵艳红; 吕永辉


    随着现代护理观念的更新,术后急性疼痛引起了护理人员的高度重视。疼痛是许多外科病人都要遇到的问题,术后疼痛对病人的生理会产生多方面的不良影响,是术后并发症和死亡率增高的相关因素之一。护理人员已将术后镇痛视为提高病人安全性、促进病人术后早日康复的重要环节,术后急性疼痛的处理已成为护理学的重要组成部分,有效的疼痛护理管理为及时控制和缓解术后疼痛提供了保障。本文对39例外科病人手术后切口观察,按卡诺夫斯荃氏的疼痛分级法,采用同源配对秩和检验,着重了解护理能否改善病人术后切口疼痛。结果表明:护理前患者普遍出现焦虑、忧郁、恐惧等表现,通过适当的心理护理,局部切口的护理和全身护理等减轻疼痛措施实施后,切口疼痛明显下降或消失,护理前后比较有显著性差异, P<0.001。大部分病人变为平静心境,甚至心情愉快,护理前后情绪变化比较有显著性差异,P<0.001.因此,加强术后病人切口疼痛的护理,是行之有效的护理方法,值得我们重视。%With the updated concept of modern nursing, postoperative acute pain caused by a caregiver's attention. Pain is the problem to be encountered in many surgical patients, postoperative pain will produce a wide range of adverse effects on the patient's physical, it is one of the relevant factors of postoperative complications and mortality. Nurses have been deemed analgesia improve patient safety, promote important aspects of the patient's speedy recovery after surgery, postoperative acute pain management has become an important part of nursing, effective pain care management for the timely control and mitigation Postoperative pain provided a guarantee. In this paper, cut to observe the patient after surgery exception 39, Tsuen Graves by Kano's pain grading method, using homologous pairing rank

  5. Fracture liaison services: improving outcomes for patients with osteoporosis. (United States)

    Walters, Samuel; Khan, Tanvir; Ong, Terence; Sahota, Opinder


    Fragility fractures are sentinels of osteoporosis, and as such all patients with low-trauma fractures should be considered for further investigation for osteoporosis and, if confirmed, started on osteoporosis medication. Fracture liaison services (FLSs) with varying models of care are in place to take responsibility for this investigative and treatment process. This review aims to describe outcomes for patients with osteoporotic fragility fractures as part of FLSs. The most intensive service that includes identification, assessment and treatment of patients appears to deliver the best outcomes. This FLS model is associated with reduction in re-fracture risk (hazard ratio [HR] 0.18-0.67 over 2-4 years), reduced mortality (HR 0.65 over 2 years), increased assessment of bone mineral density (relative risk [RR] 2-3), increased treatment initiation (RR 1.5-4.25) and adherence to treatment (65%-88% at 1 year) and is cost-effective. In response to this evidence, key organizations and stakeholders have published guidance and framework to ensure that best practice in FLSs is delivered.

  6. Fracture liaison services: improving outcomes for patients with osteoporosis (United States)

    Walters, Samuel; Khan, Tanvir; Ong, Terence; Sahota, Opinder


    Fragility fractures are sentinels of osteoporosis, and as such all patients with low-trauma fractures should be considered for further investigation for osteoporosis and, if confirmed, started on osteoporosis medication. Fracture liaison services (FLSs) with varying models of care are in place to take responsibility for this investigative and treatment process. This review aims to describe outcomes for patients with osteoporotic fragility fractures as part of FLSs. The most intensive service that includes identification, assessment and treatment of patients appears to deliver the best outcomes. This FLS model is associated with reduction in re-fracture risk (hazard ratio [HR] 0.18–0.67 over 2–4 years), reduced mortality (HR 0.65 over 2 years), increased assessment of bone mineral density (relative risk [RR] 2–3), increased treatment initiation (RR 1.5–4.25) and adherence to treatment (65%–88% at 1 year) and is cost-effective. In response to this evidence, key organizations and stakeholders have published guidance and framework to ensure that best practice in FLSs is delivered. PMID:28138228

  7. The application of two-trail teaching mode of PBL combining with CBL in surgical nursing%PBL结合CBL双轨式教学在《外科护理学》教学中的应用

    Institute of Scientific and Technical Information of China (English)

    岳琳; 牟绍玉


    目的:探索PBL结合CBL双轨式教学方法应用于《外科护理学》的教学效果,进一步提高教学质量。方法:将二年级护理专科学生随机分成实验组和对照组,对《外科护理学》中"创伤性疾病病人的护理"内容在实验组采取PBL与CBL相结合方式教学,对照组采取传统讲授方式授课。课程结束后,分别对学生的理论知识、实践技能、综合素质进行评价。结果:实验组学生理论及实践技能考核成绩优于对照组。学生和教学督导员调查反馈提示:对提高学生自学能力、促进团结协作、激发学习兴趣方面实验组显著优于对照组(P〈0.01)。结论:CBL科护理学》教学中使用PBL结合CBL双轨式教学方法,学生满意度高,教学效果好。%Objective:To explore the teaching effect for surgical nursing by applying two-trail mode of PBL combining with CBL,and to improve teaching quality.Methods: Sophomores ina junior nursing college were randomly selected and divided into two groups,the experimental group and the controlled group.The experimental group was taught by PBL combining with CBL for Caring Patients with Traumatic Problems in Surgical Nursing,compared with the control led group(traditional teaching method).And students' relevant/relevant theory knowledge,practical skills and comprehensive quality were evaluated.Results: There was significant difference between the experiment group and the controlled group in the evaluated outcoming of knowledge on surgical nursing theory and skills,and in the feedbacks from students and teaching supervisors(on students' independent-study ability,cooperation,and learning interest)(P0.01).Conclusion: Two-trail teaching mode of PBL combining with CBL in Surgical Nursing can obtain students' satisfaction and achieve teaching effect.

  8. 外科护理实践课综合性实验教学体系的设计与实施%Design and implementation of comprehensive lab teaching system for surgical nursing practice

    Institute of Scientific and Technical Information of China (English)

    丛小玲; 杨艺; 许苏飞; 李路寰; 沈娟


    目的 在外科护理实践教学中探索开展综合性实验教学的方法.方法 选取2010级三年制高职护生4个班共198人为实验班,在外科护理实践课开展综合性实验共7次24学时;根据教学要求,教师编辑病例,提出问题并设计临床模拟场景,护生分组进行角色扮演,完成实践教学任务.2009级护生共196人为对照班采用常规实验教学方法.结果 两组外科护理学理论及实践成绩比较,差异有统计学意义(均P<0.01).实验班90%以上的护生认为可提高对知识的综合性应用能力,提高学习兴趣,有利于护生团队协作能力、组织能力、沟通能力的培养.结论 外科护理实践课开展综合性实验有利于提高护生的学习兴趣和培养护生临床综合能力.%Objective To explore a method to conduct comprehensive lab teaching of surgical nursing practice. Methods Four classes totaling 198 nursing students on a three-year vocational program and admitted in 2010 were taken as the experimental group. These classes had 7 surgical nursing practice sessions by comprehensive lab teaching, 24 periods in total. According to the teaching requirements, the teachers edited cases, asked questions and designed clinical scenarios. The students were asked to do role plays and accomplish lab-based practice tasks. On the contrary, 196 nursing students admitted in 2009 had their surgical nursing practice sessions by conventional teaching methods. Results There were significant differences between the two groups in the results of surgical nursing theory and lab tests (P<0. 01 for both). More than 90% of the students in the experimental group believed that the comprehensive lab teaching system helped improve their comprehensive applicability of knowledge, enhance learning interest and cultivate the capacity of team cooperation, organization and communication. Conclusion Conducting comprehensive lab teaching in surgical nursing practice sessions can improve

  9. An Analysis of Potential Contributions of the Host Country National Local Liaison Role in Global Knowledge Management

    DEFF Research Database (Denmark)

    Vance, Charles; Vaiman, Vlad; Andersen, Torben


    This paper builds on the existing conceptualization of MNC knowledge transfer by exploring the all-important liaison role in global knowledge management played by host country nationals (HCNs), especially those working directly to with expatriate managers. We first discuss this proposed HCN local...... liaison role between expatriate and local employees within theoretical constructs of network theory and absorptive capacity. Then we consider several possible important components and related behavioral functions of this liaison role, including cultural interpreter, communication manager, information...

  10. 外科护理不良事件发生原因及防范措施分析%Causes and Preventive Measures of Nursing Adverse Events in Surgical Departments

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate and explore the causes and preventive measures of nursing adverse events in surgical departments. Methods From February 2013 to January 2016, 2 500 patients treated in our hospital were chosen, nursing adverse events during the surgical hospitalization of all patients were analyzed. Results There were 90 cases of nursing adverse events with the rate of 3.6%, including 40 cases of pressure sores, 20 cases of catheter loss, 20 cases of fall and 10 case of aspiration, which had been corrected after symptomatic treatment. Conclusion Surgical nursing adverse events of occurrence causes more has related to nursing management factors and the patient's own. so that nursing can obtain healthy, steady and sustainable development.%目的调查与探讨外科护理不良事件发生原因及防范措施。方法选取2013年2月~2016年1月我院外科进行诊治的2500例患者,记录所有患者在外科住院期间发生的护理不良事件,并分析其成因。结果发生护理不良事件90例,发生率为3.6%,其中压疮40例,导管脱落20例,跌倒20例,误吸10例,都经过对症处理后纠正。结论外科护理不良事件的发生原因多与护理管理因素和患者自身有关,外科护理不良事件的发生原因多与护理管理因素和患者自身有关,在临床上要积极管理,从而使护理工作健康、稳步、持续发展。

  11. 大理州外科护士专业自我概念的现状分析%Status Analysis of Professional Self-concept of Surgical Nurses in Dali Prefecture

    Institute of Scientific and Technical Information of China (English)

    赵媛; 和晓凤; 夏琳娟


    〔Abstract〕Objective:To investigate the current status of professional self-concept of surgical nurses in Dali prefecture. Methods:Through convenient sampling, a self-madequestionnaire and the Chinese version of professional self-concept of nurses instrument (PSCNI)were used to survey 240 surgical nurses in one comprehensive hospital in Dali. Results:The mean score of professional self-concept of nurses in Dali prefecture was(82.92 ± 10.86)and the total average level was(2.76 ± 0.39). The score of skill dimension is the highest, while the score of satisfaction dimension is the lowest. Conclusion: Surgical nurses in Dali prefecture showed positive professional attitude, however their job satisfaction should be paid more attention to. Hospitals ought to take measures to improve the job satisfaction and professional self-concept, and the quality of nursing.%目的:调查大理州外科护士专业自我概念水平。方法:应用便利抽样法,以一般资料调查表、中文版护士专业自我概念量表对大理州某综合性医院的240名外科护士进行调查,并对调查结果进行分析。结果:大理州外科护士专业自我概念总分为(82.92±10.86)分,总均分(2.76±0.39)分,技能维度得分最高,满意度维度得分最低。结论:大理州外科护士总体具有积极的专业态度,但工作满意需得到重视,医院应采取措施提高外科护士工作满意度和专业自我概念水平,增进护理质量。

  12. By the "high quality nursing service demonstration project" as a turning point, exploring the application of implementing accountability nursing mode in pediatric surgical ward%以优质护理服务示范工程为契机探索责任包干制护理模式在儿外科病房的应用

    Institute of Scientific and Technical Information of China (English)

    贺琳晰; 赵璠; 范玲


    Objective To explore the application effect of implementing the accountability nursing mode in pediatric surgical ward.Methods On the basis of the transformation of nursing concept and the improving of understanding of "High Quality Nursing Service Demonstration Project" activities,strengthening basic nursing,establishing two-level nurse management framework,implementing the accountability nursing mode.The satisfaction degree of children's parents before and after the implementation was compared.Results The satisfaction degree of children's parents after the implementation of accountability nursing mode significantly improved.Conclusions After implementing accountability nursing mode in pediatric surgical ward,the satisfaction degree of children's parents improved,the harmonious development of nurse-patient relationship was promoted,the professional identity of nursing personnel was enhanced,and guaranteed the continuous improvement of quality of care.%目的 探讨儿外科病房实施责任包干制护理模式的效果.方法 以我院儿外科全体护理人员为研究对象,在转变护理理念,提高护士对“优质护理服务示范工程”活动的认识的基础上,实施了加强基础护理、建立能级护士管理构架、实行责任包干制等措施.比较实施前后患儿家长的满意度.结果 实施责任包干制护理模式后患儿家长对护理服务的满意度显著提高.结论 在儿外科病房实施责任包干制护理模式后,提高了患儿家长满意度,促进了医护关系和谐发展,增强了护理人员职业认同感,保证了护理质量的持续改进.

  13. Abortion - surgical (United States)

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  14. Nursing practice environment and outcomes for oncology nursing. (United States)

    Shang, Jingjing; Friese, Christopher R; Wu, Evan; Aiken, Linda H


    It is commonly assumed that oncology nurses experience high job-related burnout and high turnover because their work involves inherent stressors such as caring for patients with serious and often life-threatening illness. The objectives of this study were to examine the differences in outcomes such as job dissatisfaction and burnout between oncology nurses and medical-surgical nurses, and to identify factors that affect oncology nurse outcomes. A secondary analysis of nurse survey data collected in 2006 including 4047 nurses from 282 hospitals in 3 states was performed; t test and χ2 test compared differences between oncology nurses and medical-surgical nurses in nurse outcomes and their assessments of nurse practice environment, as measured by the Practice Environment Scale of the Nursing Work Index. Logistic regression models estimated the effect of nurse practice environment on 4 nurse-reported outcomes: burnout, job dissatisfaction, intention to leave the current position, and perceived quality of care. Oncology nurses reported favorable practice environments and better outcomes than did medical-surgical nurses. All 4 subscales of the Practice Environment Scale of the Nursing Work Index studied were significantly associated with outcomes. Specifically, nurses who reported favorable nursing foundations for quality of care (eg, active in-service or preceptorship programs) were less likely to report burnout and leave their current position. Better practice environments, including nurse foundations for quality care, can help to achieve optimal nurse outcomes. Improving hospital practice environments holds significant potential to improve nurse well-being, retention, and quality of care. Specifically, hospitals should consider preceptor programs and continuing education and increase nurses' participation in hospital decision making.

  15. 泌尿外科高龄高危患者的术前护理干预措施%The study of nursing care intervention to the elder urologic patients at high surgical risk before operation

    Institute of Scientific and Technical Information of China (English)

    彭红霞; 陆桂花; 梁玉霞; 邹惠梅


    目的 探讨泌尿外科高龄高危患者术前的护理干预措施.方法 对36例泌尿外科高龄高危患者术前进行的心理行为干预进行回顾性分析.结果 干预后患者术前心理稳定,完全从医行为明显提高,不完全从医行为明显降低,采纳健康行为者明显增多,具有危险行为者明显降低.结论 对泌尿外科高龄高危患者术前进行有计划的心理行为干预,有利于手术的顺利进行和术后康复.%Objective To investigate the effects of nursing care intervention on the elder urologic patients at high surgical risk before operation.Methods This study was designed as a retrospective analysis.Thirty-six cases of the elder urologie patients at high surgical risk were psyeholngical and behavior intervened before operation.Results:After being intervened,the psychology of the patients was stable,patient compliance with doctors and nurses raised and the non-compliance reduced conspicuously.Also the patients who do the healthy action increased and the patients do the dangerous action were reduced apparently.Conclusions:Being nursing care intervention to the elder urologic patients at high surgical risk before operation by plan,it can raising the patients?endurance and is beneficial for patients to get through the operation safely and postoperative rehabilitation.

  16. 手术室优质护理对手术部位感染影响的分析%Analysis of the Impact of the Operating Room Nursing Quality on Surgical Site Infection

    Institute of Scientific and Technical Information of China (English)



    Objective:Analyze the influence of the operating room nursing quality to surgical site infection.Methods:Since March 2012,our hospital began the implementation of formal quality of nursing, and improved the quality of nursing by the behavior of strengthening supervision,optimizing the environment of the operating room and standard operation,such as behavior.Make the results of the manageG ment of surgical site monitoring to our hospital in March 2012 to August 2013 as the research object,analyze the operating room nursing quality to the influence of surgical site infection.Result:Before impleG menting high quality nursing,the hospital surgery patients with surgical site infection rate was 1.36%;With a high quality nursing after implementation,surgery surgical site infection control within 0.63%. Before implement high quality nursing,surgical hand disinfection percent of pass is 92.1%;Ordinary washing percent of pass is 88.4%;Air disinfection qualified rate 93.3%;An object's surface monitoring percent of pass is 90.6%;Environmental health percent of pass is 95.2%.After the implementation of high quality nursing,surgical hand disinfection percent of pass is 100%;Ordinary washing,percent of pass is 98.7%;Air disinfection qualified rate 100%;An object's surface monitoring percent of pass is 96.4%;Environmental health percent of pass is 98.8%.Conclusion:The implementation of the operating room nursing quality can ef ectively reduce the surgical site infections,and create favorable conditions for surgical site infection control work,it is suitable for clinical application.%目的::分析手术室优质护理对手术部位感染的影响.方法:我院自2012年3月起,正式实施优质护理,通过加强监管力度、改善护理行为、优化手术室环境、规范手术操作等行为,提高护理质量.将我院2012年3月~2013年8月,手术部位管理的监测结果作为研究对象,分析总结手术室优质护理对手术部位感染的影

  17. 143例达芬奇外科手术系统甲状腺癌根治术护理配合%Nursing cooperation of 143 patients with Da Vinci's surgical operation system for thyroid cancer

    Institute of Scientific and Technical Information of China (English)

    田秀; 王小霞


    报告了143例达芬奇外科手术系统甲状腺癌根治术的护理配合体会。术前充分的手术准备,熟练掌握达芬奇机器人的各部分构造和使用程序,熟悉机器人专用器械的使用,了解手术入路和术中操作要点,才能高质量的完成手术配合。%Report the nursing cooperation of 143 patients with Da Vinci surgical operation system. Preoperative adequate surgical preparation, master of the Da Vinci robot in each part of the structure and the use of the procedure, familiar with the use of special apparatus used for robot, understanding operative road and operation points, to high quality completion of operation cooperation.

  18. Nursing Practice Environment and Outcomes for Oncology Nursing (United States)

    Shang, Jingjing; Friese, Christopher R.; Wu, Evan; Aiken, Linda H.


    Background It is commonly assumed that oncology nurses experience high job-related burnout and high turnover because their work involves inherent stressors such as caring for patients with serious and often life-threatening illness. Objectives The objectives of this study were to examine the differences in outcomes such as job dissatisfaction and burnout between oncology nurses and medical-surgical nurses, and to identify factors that affect oncology nurse outcomes. Methods A secondary analysis of nurse survey data collected in 2006 including 4047 nurses from 282 hospitals in 3 states was performed; t test and χ2 test compared differences between oncology nurses and medical-surgical nurses in nurse outcomes and their assessments of nurse practice environment, as measured by the Practice Environment Scale of the Nursing Work Index. Logistic regression models estimated the effect of nurse practice environment on 4 nurse-reported outcomes: burnout, job dissatisfaction, intention to leave the current position, and perceived quality of care. Results Oncology nurses reported favorable practice environments and better outcomes than did medical-surgical nurses. All 4 subscales of the Practice Environment Scale of the Nursing Work Index studied were significantly associated with outcomes. Specifically, nurses who reported favorable nursing foundations for quality of care (eg, active in-service or preceptorship programs) were less likely to report burnout and leave their current position. Conclusions Better practice environments, including nurse foundations for quality care, can help to achieve optimal nurse outcomes. Implications for Practice Improving hospital practice environments holds significant potential to improve nurse well-being, retention, and quality of care. Specifically, hospitals should consider preceptor programs and continuing education and increase nurses’ participation in hospital decision making. PMID:22751101

  19. Liaison activities with the Institute of Physical Chemistry, Russian Academy of Sciences: FY 1997

    Energy Technology Data Exchange (ETDEWEB)

    Delegard, C.H.; Elovich, R.J.


    The Institute of Physical Chemistry of the Russian Academy of Sciences is conducting a program of fundamental and applied research into the chemistry of the actinides and technetium in alkaline media such as are present in the Hanford Site underground waste storage tanks. This work is being coordinated and the results disseminated through a technical liaison maintained at the Pacific Northwest National Laboratory. The technical liaison is performing laboratory studies on plutonium chemistry in alkaline media. The activities at the Institute of Physical Chemistry and through the liaison are pursued to improve understanding of the chemical behavior of key long-lived radioactive elements under current operating and proposed tank waste processing conditions. Both activities are supported by the Efficient Separations and Processing Crosscutting Program under the Office of Science and Technology of the U.S. Department of Energy.

  20. An Analysis of Potential Contributions of the Host Country National Local Liaison Role in Global Knowledge Management

    DEFF Research Database (Denmark)

    Vance, Charles; Vaiman, Vlad; Andersen, Torben


    resource broker, talent developer, and internal change agent. We also consider benefits and limitations of this HCN local liaison role, as well as areas for future exploratory field research to help validate and elucidate this present model of the HCN local liaison role. This model also provides some...

  1. American Nurses Association Nursing World (United States)

    ... ANA Staff Nurses Advanced Practice Nurses Nurse Managers Nursing Research Student Nurses Educators What is Nursing? NursingWorld About ... Online Course Alert! The Ins and Outs of Nursing Research 11/09/16 ANA Ready to Work with ...

  2. Utilization of a consultation liaison psychiatry service in a general hospital. (United States)

    Gobar, A H; Collins, J L; Mathura, C B


    This retrospective study was conducted in response to a need to evaluate the overall utilization rates of the psychiatric consultation liaison service by nonpsychiatric units within Howard University Hospital, which deals almost exclusively with a black, inner-city population. The study covers a three-year period (July 1982 to July 1985). During this time only 815 patients (2 percent) were referred for psychiatric evaluation out of the total number of hospital admissions (40,000 patients).Patient characteristics and general attitudes appear to have had a major role in this low ratio of referrals, particularly a lack of awareness and bias against psychiatry. This latter finding is in disparity with other published reports. Diagnostically, depression, organic mental disorders (acute), and substance abuse (mainly PCP) constituted the greater bulk of the patients seen by the consultation liaison psychiatry service. The review of a random sample of psychiatric inpatients (n = 100) revealed that in 50 percent of the cases there was a coexisting physical illness or abnormality.The role of mental health education and the liaison function needs to be emphasized. It is suggested that efforts should be directed toward a wider acceptance and utilization of consultation liaison psychiatry by primary care physicians in general hospitals. The factors listed by physicians and patients that may account for the observed underutilization of consultation liaison services are discussed. The results of 20 interviews and the reasons given by referring physicians as to whether or not they will seek consultation from the consultation liaison services are also reviewed.

  3. Clinical characteristics of delirium Patients referred to consultation-liaison Psychiatry in general hosPi-tals%综合医院精神科会诊患者谵妄的临床特点

    Institute of Scientific and Technical Information of China (English)

    郑学宝; 王洪飞; 李金亮; 罗忠; 张开宇


    Objective:To explore the clinical characteristics of delirium patients referred to consultation-liaison psychiatry in general hospitals,as well as those in psychiatric hospitals. Method:The clinical data of 28 delirium patients referred to consultation-liaison psychiatry in general hospitals(consulation-liaison group) and 24 delirium patients in psychiatric hospitals(non-consulation-liaison group)admitted were included for a contrast analysis. They were all evaluated by the Chinese revision of confusion assessment method(CAM-CR). Results:Delirium patients in the consultation-liaison group were with elder age and complex etiology. Medi-cine diseases they suffering from were mainly in respiratory tract infections,brain stroke and cardiovascular dis-eases,while the surgical diseases were mainly in cerebral trauma,post-operation and fractures. Among them, multi-system diseases had the highest probability of causing delirium. The psychomotor retardation score in CAM-CR was significantly higher than the non-consultation-liaison group. However,delirium patients in non-consulation-liaison group were with younger age and simple etiology. Their diseases were mainly caused by with-drawing from psychoactive substances,senile dementia and improper application of antipsychotics. The total score,change in the level of consciousness,perceptual disturbance and psychomotor excitation scores in CAM-CR were all significantly higher than the consultation-liaison group. Conclusion:Elder age,complex etiology and symptoms,high misdiagnosis rate and poor prognosis are among the main features in delirium patients in general hospitals,the consultation liaison needs to be strengthened.%目的:探讨综合性医院精神科会诊中的谵妄与精神病专科医院中的谵妄的临床特点。方法:对综合性医院中精神科会诊中的28例谵妄患者(会诊组)与同期在精神病院的24例患者(非会诊组)的临床资料进行对照分析,并使用谵妄



    Grażyna Nowak-Starz; Barbara Kozak; Kazimiera Zdziebło


    Nursing is one of the professions where chronic stress is an inseparable characteristic and stems from the very nature of the profession itself. The job of a nurse involves particular mental burdens. The source of these is another person, one who has most often found themselves in an extreme situation. A nurse carries out her/his duties in a state of strong and long-lasting emotional strain. Inappropriate coping with stress and a lack of support from others in difficult situations leads to th...

  5. On the Subjectivity of Liaison Interpreters in Business Sector——The Person Application

    Institute of Scientific and Technical Information of China (English)

    张菁; 姚青; 向凤雅


    Nowadays,commercial interactions,exchanges,andcorporation occur more and more frequently in almost every business sector between China and other countries.As a result,business interpreting carries an increasing significance day after day,especially between English and Chinese.When it comes to the role of liaison interpreters,specifically in business sector,the importance of their subjectivity hasn’t been widely realized.So it is quite meaningful to propose and implement the active role of liaison interpreters and to apply their subjectivity to real commercial situations.

  6. Practice of Adult Nursing to train health education ability of nursing students in surgical nursing teaching%《成人护理》外科护理教学中培养护生健康教育能力的实践与体会

    Institute of Scientific and Technical Information of China (English)

    杨艺; 丛小玲; 许苏飞


    目的 探讨在外科疾病病人护理教学中,对健康教育内容的教学方法进行改革的效果.方法 选择4 个3 年制护理大专班中的1 个班48 名护生为实验组,采取病例教学、情境教学、合作学习等多种教学方法;其余3 个班共142 名护生为对照组,采用传统讲授法讲授.两组护生均选择中3 种外科疾病的健康教育部分,并比较两组护生的学习效果.结果 实验组护生对教学方法的评价在提高学习兴趣、增强学习主动性、加强对知识的理解和记忆、提高自学能力、锻炼沟通表达能力等方面均优于对照组(P<0.01 或P<0.05).实验组护生理论成绩高于对照组(P<0.05).结论 在外科护理健康教育的教学中,利用临床病例、采用情境教学及合作学习等方法,有利于促进护生健康教育能力的提高.%Objective To explore the effects of the reform of health education methods in surgical nursing teaching. Method Forty - eight nursing students in one class were enrolled as the experimental group,and the variety of teaching methods such as case teaching,situational teaching and cooperative learning were applied in the group. And atotal of 142 students in the other 3 classes were recruited as the control group,and the traditional teaching methods were used in it. The teaching contents for the two groups were about health education of 3 surgical diseases, and the effects were compared between the two groups. Results The evaluation results in improving learning interest,enhancing learning motivation,reinforcing understanding of knowledge and memory,improving self - learning and strengthening communication skills in the experimental group were better than the control group. The score of theoretical test in the experimental group was higher than the control group. The differences were statistically significant P < 0.01 or P < 0.05). Conclusion Application of variety teaching methods of case teaching, situational teaching and

  7. Improving Nurse-Physician Teamwork: A Multidisciplinary Collaboration. (United States)

    Streeton, Abigail; Bisbey, Cindy; O'Neill, Carrie; Allen, Danielle; O'Hara, Sara; Weinhold, Megan; Miller, Jenna; Bursiek, April; Grubbs, Pamela


    Nurses surveyed on an inpatient gynecology surgical unit suggested communication and teamwork between nurses and physicians could be improved. To enhance teamwork, a multidisciplinary collaboration committee of nurses and physicians was created.

  8. Surgical Assisting (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  9. The Practice of Informatization Management in Surgical Outpatient Nursing Service Process%信息化管理在外科门诊护理服务流程中的实践

    Institute of Scientific and Technical Information of China (English)



    Taking Shengjing Hospital of China Medical University as an example, informatization management measures are applied to outpatient surgical nursing process, including one-card-through outpatient information diagnosis and treatment model, cell-phone APP clinical message diagnosis and treatment model, electronic queuing system, sub-period and multi-channel reserved registration, medical material receiving, online reporting of the repair work, so as to optimize nursing service process, increase effective treatment time, improve efficiency and quality of nursing service.%以中国医科大学附属盛京医院为例,将一卡通门诊信息诊疗模式、手机APP门诊信息诊疗模式、电子排队叫号系统、分时段多途径预约挂号、物资请领、网上报修等信息化管理措施应用于外科门诊护理服务流程中,从而优化护理服务流程,提高患者有效就诊时间,提升护理服务效率和质量。

  10. The Benefits of Non-Library Professional Organization Membership for Liaison Librarians (United States)

    Bennett, Miranda Henry


    Although liaison librarians have two important professional identities--librarian and subject specialist--the library literature has paid scant attention to their membership and participation in non-library professional organizations. This article analyzes a study of ten librarians who joined non-library associations and concludes that membership…

  11. 75 FR 26757 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the... (United States)


    ... Animals. Federal Agency Research, Development, Translation, and Validation Activities Relevant to the...); Office of Liaison, Policy and Review; Meeting of the Scientific Advisory Committee on Alternative... Agency, 109 T.W. Alexander Drive, Research Triangle Park, NC 27711. The meeting is open to the...

  12. Peri-operative Nursing Experience of Lung Cancer Surgery with da Vinci S Surgical System%达芬奇机器人肺癌手术的围术期护理体会

    Institute of Scientific and Technical Information of China (English)

    王静; 王伟欣; 刘娇; 王菲菲; 吴琼


    Objective Summarizing the peri-operative nursing experience of lung cancer surgery with da Vinci S Surgical System, to explore the nursing methods. Methods To analyze the 171 cases with lung cancer who underwent surgical treatment with da Vinci S Surgical System from March 2012 to March 2015. All cases were to strengthen preoperative education and explain the superiority of robotic surgery, and enhance their self-confidence and sense of security, guide to cough and deep breathing exercises,improve the preoperative preparation.At the same time, enhance the observation of postoperative vital signs and the nursing of respiratory ang pain. Instructing patients to active early, to promote the recovery of lung function.Results All patients were successfully completed surgery, recovery well, without recurrence.Conclusion The da Vinci S Surgical System can be safely used for the treatment of lung cancer surgery with smaller trauma, faster recovery, less pain.Having the correct nursing intervention measures, strengthening peri-operative nursing, close observation condition changes, is very important to promote patients recovery early.%目的:总结达芬奇机器人肺癌手术的围手术期护理经验,探讨护理方法及体会。方法回顾性分析2012年3月至2015年3月我院171例肺癌患者行达芬奇机器人手术的临床资料。对上述患者进行术前相关知识宣教,讲解机器人手术的优越性,增强其自信心与安全感,指导有效咳嗽和深呼吸锻炼,完善术前准备工作;术后早期密切监测生命体征,做好呼吸系统护理、疼痛护理,嘱患者早期活动,促进肺功能恢复。结果171例患者均顺利完成手术,术后恢复良好,无并发症发生,痊愈出院。结论达芬奇机器人肺癌手术安全可行,创伤小,恢复快,痛苦小,正确的护理干预措施,加强围手术期护理,严密观察病情变化,是促进患者早日康复的有利保证。

  13. Lost in translation: reviewing the role of the discharge liaison nurse in Wales. (United States)

    Chandler, Lynda; Wyatt, Matt; Roberts, Iain


    In Wales, the National Leadership and Innovation Agency in Healthcare (NLIAH) Change Agent Team (CAT) has found that its service improvement methodology of Communities of Practice (CoP), where motivated frontline staff in health and social care come together to share issues and develop solutions to mutual problems, is a highly effective and informative tool. Health and social care organizations in Wales are in the process of working to develop processes and solutions to remedy the challenges they have over patients with long lengths of stay. This article shows how by speaking to the frontline staff, whose role it is to help people whose discharge is likely to be complex or problematic, they often have most insight into the solutions required to alleviate the situation. The learning in this article is that there is no one solution to improve the discharge process; however there are a number of small changes and improvements required, which if done consistently can have a significant impact. The findings here have been shared with Welsh government policy leads and health and social care executive teams to inform their planning and actions on how to resolve the challenge of reducing length of stay.

  14. [Economic impact of consultation-liaison psychiatry in a French University Hospital Centre]. (United States)

    Yrondi, A; Petiot, D; Arbus, C; Schmitt, L


    In times of fiscal restraint for health structures, apart from the clinical input, it seems important to discuss the economic impact of liaison psychiatry. There are only a few studies on the economic added value provided by a liaison psychiatry team. In addition to this, only a few psychiatric pathologies are coded as they should be, hence we make the assumption of an additional development provided by a specialised team. Over a short period of 4months, in three departments of the Toulouse University Hospital Centre, the added value to the general pricing system of liaison psychiatry was studied. The population was represented by all the consecutive requests for consultations from patients over 18years old, men and women, hospitalised at that time. These three departments frequently request consultations with the psychiatry liaison team. They set a diagnostic, and if this is associated with a higher Homogeneous Group of Patients (HGP), it provides added value. Fifty-two patients benefited from a psychiatric consultation over 4months. The results highlight a development of € 8630.43 for the traumatology department, € 3325.03 for the internal medicine department, and € 513.61 for the haematology department over the study period. The overall development over this period was € 12,469.07. To our knowledge, this approach is one of the first in France to highlight an economic impact of the intervention of liaison psychiatry in the claiming departments. Copyright © 2014 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

  15. Surgical patients' needs and actual utilization of community nursing services%手术出院患者社区护理需求与实际利用状况

    Institute of Scientific and Technical Information of China (English)

    张玉萍; 黄素芳; 李秀云


    Objective To investigate the surgical patients' needs of community nursing services and actual utilization within one week of out hospital. Methods Sampled 257 adults surgical patients from certain general hospital, interviewed them by self-designed queostionnair to know their needs of community nursing services and actual utilization within one week after out of hospital. Results There were 96% pa-tients required community nursing services at the point of discharge. The content of services needs included dise ases cares, health teaching and prevention services. Different moded of community nursing cares were required. The actual utilization rate within one week was 16.5%, there were 54.5% and 63.6% of patients received wound care and medication administration separately, which were mainly provided by center visit. Conclusions There is a contradiction between the needs and actual utilization of com-munity nursing services. It is meaningful to enhance the utilization rate, extend the content and perfect the modes of community nursing services so as to satisfy discharged surgical patients' needs.%目的 调查手术患者出院时社区护理服务需求及出院1周内实际利用社区护理服务的状况.方法 采用整群抽样的方法选取某综合医院257例手术患者为研究对象,运用自制调查表,在患者出院当日调查社区护理服务需求情况,在患者出院1周时电话随访社区护理服务实际利用情况.结果 96.0%的手术患者出院时存在社区护理需求;需求的社区护理服务项目涉及疾病护理、健康指导及预防保健类服务;需求多种服务方式.出院1周内社区护理实际利用率为16.5%;分别有54.5%和63.6%的患者利用了伤口护理和给药护理服务,服务内容以疾病护理为主,服务方式以社区卫生服务中心(站)护理为主.结论 手术出院患者对社区护理服务的需求状况与实际利用情况两者存在矛盾.积极开展手术患者社区护理服

  16. 情景教学法在中职外科护理学实训课中的应用%Application of scene teaching method in the secondary surgical nursing training class

    Institute of Scientific and Technical Information of China (English)

    李陟; 凌志杰


    目的:探讨情景教学法在外科护理学实训课教学中的应用效果。方法:从2013级3年制护理专业中随机抽取10个班,每班50人,共500名中职生。分为两组,对照组250名采用传统教学法,实验组250名采用情景教学法,建立以中职生为主体的实训课情景教学格局,即通过语言、实物及多媒体来设置教学情景。结果:实验组学生的理论考核成绩与实践技能考核成绩均高于对照组,差异具有统计学意义(P <0.05)。教学满意度调查结果显示:实验组明显好于对照组。(P <0.05)。结论:运用情景教学法进行外科护理学实训课教学有利于提高中职生的学习兴趣、学习效率、知识应用及技能操作等综合能力。%Objective:To investigate the effects of the scene teaching method in nursing practical teach-ing for Surgical Nursing .Methods:A total of 500 secondary vocational students of 10 classes were randomly selected for the study,and divided into two groups.The control group of 250 students were trained with the traditional teaching method,the experimental group of 250 students received the scene teaching method.The teaching situation of practical teaching pattern was established through language,physical and multimedia in-cluding.Results:The performance of the students in the experimental group was significantly higher than that in the control group,and the difference was statistically significant (P <0.05).The results of teaching satis-faction survey of the experimental group was significantly better than the control group.(P <0.05).Con-clusion:Application of scene teaching method in nursing practical teaching for Surgical Nursing can improve the learning interest,learning efficiency,knowledge and skills of the students.

  17. Mental health nurses' diabetes care skills - a training needs analysis. (United States)

    Nash, Michael


    This article explores mental health nurses' diabetes training needs. A survey of inpatient and community mental health nurses was undertaken using a 16-item self-reporting questionnaire. Two hundred and twenty questionnaires were sent out and 138 returned, providing a response rate of 63%. Analysis shows that mental health nurses are currently involved in a range of diabetes care activities, however, their knowledge and skills may not be up to date. Mental health nurses also report the growing impact of diabetes care on their workload. Areas of identified training needs include taking blood glucose readings, giving dietary advice, liaison with diabetes nurse specialists and weight management. Mental health services and education providers need to consider developing specific training courses for mental health nurses.

  18. Investigation and Analysis of Effect of Surgical Nursing Management to Control of Hospital Infection%外科护理管理控制医院感染效果的调查分析

    Institute of Scientific and Technical Information of China (English)

    曲佳; 杨巍


    Objective To investigate effect of the surgical nursing management and control hospital infection. Methods Pa_tients admitted to our hospital 150 cases of surgical research object, according to the order of treatment were divided into control and study groups each of 75 patients in the control group were treated with routine care, nursing management study group to strengthen nursing in the control group, based on the investigation and difference of two hospital infection rates and patient satisfaction between whether or not statistically significant. Results The control group 75 patients, 8 patients during hospitalization occurred nosocomial infection, infection rate was 10.67%, 66 cases of patient satisfaction, satisfaction was 88.00%;75 patients in the study group, only one patient during hospitalization occurred hospital infection, the infection rate was 1.33%, 73 cases of patient satisfaction, satisfaction was 97.33%, and the difference between the two groups of patients the hospital infection rate between satisfaction were statistically significant (P<0.05), hospital infection rate in the control group in the study group, the study group is lower than satisfaction. Conclusion Surgical strengthen routine nursing care on the basis of management conducive to the prevention and control of hospital infection, improve nursing satisfaction, should be widely applied.%目的:了解外科护理管理控制医院感染的效果。方法收集该院2013—2015年收治的150例外科患者为研究对象,按照就诊顺序分为对照组和研究组各75例患者,对照组患者给予常规护理,研究组在对照组护理措施基础上加强护理管理,调查并分析两组患者医院感染率和满意度之间的差异是否具有统计学意义。结果对照组75例患者中,住院期间有8例患者出现医院感染,感染率为10.67%,66例患者满意,满意度为88.00%;研究组75例患者中,住院期间仅有1例患者出现医院感染,感染率为1

  19. The Enigma of Graduate Nursing Education: Advanced Generalist? Specialist? (United States)

    Reed, Suellen B.; Hoffman, Sharon E.


    To pin down the appropriate parameters for graduate nursing education, the authors say we must explore the meanings of advanced generalist and specialist. They discuss the focus, scope, and depth of the community health major, psychiatric mental health nursing, nursing care of children, maternity nursing, medical-surgical nursing, and nursing…

  20. 外科护理学教学中教学做一体化教学模式的实践探究%Practice and Exploration of the Integrated Teaching Mode in the Teaching of Surgical Nursing

    Institute of Scientific and Technical Information of China (English)

    李瑞敏; 田克锋


    目的:探析外科护理学教学中教学做一体化教学模式的实践效果。方法采用随机平行对照方法,将80例外科护理学专业学生随机分成观察组与对照组,各40例。对照组给予传统教学模式,观察组给予教学做一体化教学模式,对比两组教学效果。结果观察组理论考核和技能考核成绩优于对照组。结论应用教学做一体化教学模式,可以充分调动学生学习的积极性,活跃课堂气氛,提高学生的理论成绩与技能水平。%Objective To probe into the practice effect of the integrated teaching mode in the teaching of surgical nursing. Methods 80 cases of surgical nursing students were randomly divided into the observation group and the control group based on random flat control method , 40 cases in each group. The control group was given the traditional teaching mode, while the observation group was given the teaching model, and compared the effect of the two groups.Results The theory and skill examination result of observation group were better than the control groupConclusion The application of the teaching model of integration can fully mobilize the enthusiasm of students learning, active classroom atmosphere, signiifcantly improve the students' academic achievement and skill level.

  1. 75 FR 12244 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board... (United States)


    ... HUMAN SERVICES National Institutes of Health National Toxicology Program (NTP); Office of Liaison... authorities knowledgeable in fields such as toxicology, pharmacology, pathology, biochemistry, epidemiology, risk assessment, carcinogenesis, mutagenesis, molecular biology, behavioral toxicology,...

  2. 外科护士术后疼痛管理的扎根理论研究%Research in grounded theory of postoperative pain management among the surgical nurses

    Institute of Scientific and Technical Information of China (English)

    叶胜男; 周媛媛


    Objective To find out the nurse's cognitive level of the postoperative pain management and its relevant elements,and influence of intervention measures on their postoperative pain management,so that can provide a theoretic basis for a more effective postoperative pain management.Methods The grounded theory research method taken from qualitative research Was mainly used,and triangulation was applied in collecting the information,such as observational method,interviewing method among nurses and collecting questionnaire among nurses and patients.In addition,the information was analyzed by using the constant tomparative method,generalized the relative elements influencing the postoperative pain managemen,summarized the intervention measure.In the end.analyzed comparatively the change of the nurses'knowledge and behavior of the postoperative pain management before and after intervention.Results Surgical nurses'knowledge and behavior of the postoperative pain management was improved in various degrees.The difference of the data has statistical significance.Satisfaction degree of patients improved and the theoretical model included conceptual structure,contributory factors and results.Conclusions The advance of the surgical nurse's self-awareness can improve the level of the postoperative pain management.%目的 了解外科护士对术后疼痛管理的认知水平及相关影响因素,以及干预措施对其的影响,为外科护士进行更为有效的术后疼痛管理提供理论依据.方法 主要运用质性研究中的扎根理论研究,以三角交叉检视法对资料进行收集,包括护士的深度访谈和观察以及护士和患者问卷调查等资料收集,共回收患者问卷98份,护士问卷25份.运用持续比较方式进行资料分析,归纳出影响护士术后疼痛管理的相关因素,并予以干预措施,交叉对比分析干预前后外科护士疼痛管理知识水平和行为的改变情况.结果 干预后外科护士术后疼痛管

  3. Investigation and analysis of the current cognition status of anesthesia-related knowledge for surgical nurses%外科护士对麻醉相关知识认知现状调查与分析

    Institute of Scientific and Technical Information of China (English)

    彭琳; 沈祎蕾; 韩文军


    目的 调查并分析某三级甲等医院外科病房护士对麻醉相关知识的掌握情况及其影响因素,为围麻醉期护理管理提供参考. 方法 采用问卷调查法,对上海市某三级甲等综合性医院12个手术科室的护士进行麻醉相关知识调查.调查问卷在文献回顾基础上结合围麻醉期护理常规自行设计,经专家评议和预调查内容效度系数为0.90,信度系数为0.81~0.92.采用整群抽样法,调查所有符合纳入标准的330名护士. 结果 问卷的回收与有效率均为98.18%.324名外科护士对麻醉相关知识的平均得分,折合百分制后为(32±14)分;各维度得分由高至低依次为:麻醉前准备(54±29)分、麻醉后护理要点(31±18)分和基本概念(18±30)分.单因素方差分析显示:学历、职称、年龄、工作年限、科室、是否接受过麻醉课程培训均影响到护士的麻醉相关知识得分且差异有统计学意义(P<0.05);而进一步多元回归分析显示,仅年龄、科室以及是否参加过培训进入回归方程,可解释其总变异的35.6%. 结论 建议依据外科护士所在的科室、年资、培训经历等,有的放矢地实施围麻醉期的理论与技能培训,通过多途径系统化培训提高其对麻醉相关知识的认知水平和参与围麻醉期患者管理的能力,从而确保其能够为围麻醉期患者提供更为安全、专业的预见性护理.%Objective To investigate and analysis of the current cognition status of surgical nurses' anesthesia-related knowledge in a certain hospital at the level of grade Ⅲ class A in Shanghai,and to provide a scientific basis for perianesthesia nursing management.Methods Using questionnaires,330 nurses from 12 surgical departments were investigated with their informed consent.Questionnaire was self-designed based on the literature review combined with the perianesthesia care and the validity is 0.90,reliability is 0.81-0.92.Results Both the questionnaire

  4. An Analysis of Navy Nurse Corps Accession Sources (United States)


    and serve in a variety of different fields, including medical and surgical nursing, emergency/ trauma nursing, critical care nursing, mental health...553 448 445 105 123% 1920 Maternal Infant 205 3 202 142 142 60 142% 1922 Pediatric Nursing 63 2 61 40 40 21 153% 1930 Psychiatric Nursing 72 1 71 48...48 23 148% 1940 Community Health 20 1 19 37 37 (18) 51% 1945 ER/ Trauma Nursing Community 243 4 239 180 180 59 133% 1950 Perioperative Nursing

  5. Nursing: Registered Nurses (United States)

    ... a diploma from an approved nursing program. Registered nurses also must be licensed. Education In all nursing education programs, students take courses in anatomy, physiology, microbiology, chemistry, nutrition, psychology, and other social and ...

  6. Evaluation of NANDA nursing diagnoses of healthcare college final year students during the clinical application of the mental health and disease nursing course

    Directory of Open Access Journals (Sweden)

    Gülay Taşdemir


    Full Text Available The aim of this descriptive study was to evaluate the NANDA nursing diagnoses of Pamukkale University Denizli Healthcare College final year students for the patients they undertook the care of and to determine the aims and interventions relevant to these diagnoses.The study universe consisted of all Pamukkale University Denizli Healthcare College final year students who were continuing their education during the 2009-2010 educational year and took the Mental Health and Disease Nursing course (84. The universe was studied before selecting a sample. The internal medicine, surgery, cardiovascular surgery, chest disease, orthopedics-urology, and physical treatment and rehabilitation clinics were chosen for the consultation liaison psychiatry (CLP while the AMATEM Center of the Denizli State Hospital and the Pamukkale University Psychiatry clinics were chosen as the student clinical application areas. The data were collected by evaluating the 136 nursing care plans prepared by the students and the data collection forms the students had used for nursing care during the 2009-2010 autumn semester. The nursing care was evaluated according to the symptom, etiology and problem (SEP format, using the diagnostic list containing the NANDA diagnoses that had previously been provided to the students, and the number and percentage distributions were determined.The patients cared for at the CLP clinics by the students included in the study had been admitted for surgical interventions at a rate of 29.8% and cancer at 28.6% while those in the psychiatry clinics had been admitted for psychosis or alcohol-substance abuse at a rate of 16.7%. The students included in the study had determined 36 nursing diagnoses in 136 cases. The 6 most common diagnoses were infection risk at 34.5%, disturbance of sleep pattern at 33.3%, anxiety at 25.0%, activity intolerance at 20.2%, inadequate personal coping at 16.7% and trauma risk at 13.1% at the CLP clinics, and disturbed sleep

  7. Development of a system for transferring images via a network: supporting a regional liaison. (United States)

    Mihara, Naoki; Manabe, Shiro; Takeda, Toshihiro; Shinichirou, Kitamura; Junichi, Murakami; Kouji, Kiso; Matsumura, Yasushi


    We developed a system that transfers images via network and started using them in our hospital's PACS (Picture Archiving and Communication Systems) in 2006. We are pleased to report that the system has been re-developed and has been running so that there will be a regional liaison in the future. It has become possible to automatically transfer images simply by selecting the destination hospital that is registered in advance at the relay server. The gateway of this system can send images to a multi-center, relay management server, which receives the images and resends them. This system has the potential to be useful for image exchange, and to serve as a regional medical liaison.

  8. Surgical Positioning: Evidence for Nursing Care Posicionamiento quirúrgico: evidencias para el cuidado de enfermería Posicionamento cirúrgico: evidências para o cuidado de enfermagem

    Directory of Open Access Journals (Sweden)

    Camila Mendonça de Moraes Lopes


    Full Text Available The goal of surgical positioning is to promote access to the surgical site. It should be carried out correctly to ensure patient safety and prevent complications. This integrative literature review aimed to search for and evaluate available evidences in literature about nursing care related to surgical positioning of adult patients in the intraoperative period. Pubmed, Cinahl and Lilacs databases were used for the selection of the articles. The sample consisted of 20 articles. The synthesis of the available evidence showed that included studies focused on three main topics: risk factors for developing complications, complications due to surgical positioning and nursing care related to surgical positioning. Among the gaps in the research theme, the need to conduct studies on effective devices for each type of surgical position is highlighted.El posicionamiento quirúrgico tiene como principal finalidad promover el acceso al sitio quirúrgico y debe ser realizado de forma correcta para garantizar la seguridad del paciente y prevenir complicaciones. El presente estudio tuvo como objetivo buscar y evaluar las evidencias disponibles en la literatura sobre los cuidados de enfermería, relacionados al posicionamiento quirúrgico del paciente adulto en el período intraoperatorio. El método de investigación adoptado fue la revisión integradora de la literatura. Para la selección de los artículos, se utilizaron las bases de datos PubMed, Cinahl y Lilacs. La muestra se constituyó de 20 artículos. En la síntesis de las evidencias se constató que los artículos incluidos enfocaron tres tópicos principales, que son: los factores de riesgo para el desarrollo de complicaciones, las complicaciones provenientes del posicionamiento quirúrgico y los cuidados de enfermería relacionados al posicionamiento quirúrgico. Entre los vacíos del tema investigado, se destaca la necesidad de conducir estudios sobre dispositivos eficaces para cada tipo de posici

  9. Why are hospital doctors not referring to Consultation-Liaison Psychiatry? - a systemic review. (United States)

    Chen, Kai Yang; Evans, Rebecca; Larkins, Sarah


    Consultation-Liaison Psychiatry (CLP) is a subspecialty of psychiatry that provides care to inpatients under non-psychiatric care. Despite evidence of benefits of CLP for inpatients with psychiatric comorbidities, referral rates from hospital doctors remain low. This review aims to understand barriers to CLP inpatient referral as described in the literature. We searched on Medline, PsychINFO, CINAHL and SCOPUS, using MESH and the following keywords: 1) Consultation-Liaison Psychiatry, Consultation Liaison Psychiatry, Consultation Psychiatry, Liaison Psychiatry, Hospital Psychiatry, Psychosomatic Medicine, the 2) Referral, Consultation, Consultancy and 3) Inpatient, Hospitalized patient, Hospitalized patient. We considered papers published between 1 Jan 1965 and 30 Sep 2015 and all articles written in English that contribute to understanding of barriers to CLP referral were included. Thirty-five eligible articles were found and they were grouped thematically into three categories: (1) Systemic factors; (2) Referrer factors; (3) Patient factors. Systemic factors that improves referrals include a dedicated CLP service, active CLP consultant and collaborative screening of patients. Referrer factors that increases referrals include doctors of internal medicine specialty and comfortable with CLP. Patients more likely to be referred tend to be young, has psychiatric history, live in an urban setting or has functional psychosis. This is the first systematic review that examines factors that influence CLP inpatient referrals. Although there is research in this area, it is of limited quality. Education could be provided to hospital doctors to better recognise mental illness. Collaborative screening of vulnerable groups could prevent inpatients from missing out on psychiatric care. CLP clinicians should use the knowledge gained in this review to provide quality engagement with referrers.

  10. [Successful intervention of a Palliative Liaison Service in case of ethical conflicts]. (United States)

    Hannesschläger, Heinz; Kopp, Martin; Holzner, Bernhard


    In multiprofessional teams, the processes underlying ethical decisions in Palliative Care often become complicated and could cause many conflicts. Different interests and ethical positions often slow down the necessary decision-making. The lack of resources, lack of managerial structures and deficits in competence and education make the situation more difficult. We demonstrated in our case report that an established Palliative Liaison Service could support the creation of consensual decisions by forming multiprofessional ethic round-ups.

  11. 加速康复外科护理在胆囊切除患者护理中的应用效果%Accelerating rehabilitation surgical nursing in care of patients undergoing cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    周丽媚; 陈萍英; 吴桂兰; 黄妙玲; 陈颜波


    Objective To explore the effect of accelerating rehabilitation surgical nursing in the care of patients undergoing cholecystectomy.Methods 120 patients undergoing cholecystectomy at our department from January, 2013 to March, 2015 were selected and randomly divide into an observation group and a control group, 60 cases for each group. The control group were conventional nursed. The observation group received accelerating rehabilitation surgical nursing. The curative effect, incidence of complications, satisfaction degree, and comfort degree were observed in both groups.Results The hospitalization time, time to get off bed, and time to take food were obviously shorter, the cost of hospitalization, satisfaction degree, and comfort degree were signiifcantly higher in the observation group than in the control group, with statistical differences (P<0.05). The incidence of complications was 5.17% in the observation group and 16.17% in the control group, with a statistical difference (P<0.05).Conclusion Accelerating rehabilitation surgical nursing for patients undergoing cholecystectomy can signiifcantly shorten hospital stay, time to get off bed, and time to take food, reduce patient hospitalization cost, lower the incidence of complications, and increase satisfaction degree and comfort degree and is worth for clinical reference and application.%目的:探究加速康复外科护理在胆囊切除患者护理中的应用效果。方法选取2013年1月至2015年3月我院肝胆外科收治的120例行胆囊切除术患者为研究对象,随机分为观察组和对照组,每组60例。对照组采用常规护理,观察组采用加速康复外科护理,观察两组患者术后疗效、并发症并调查患者满意度和舒适度。结果观察组住院时间、下床活动时间、进食时间及住院费用明显少于对照组,比较差异有统计学意义(P<0.05);观察组并发症发生率为5.17%明显低于对照组16.17%并发症发生率,

  12. Evaluation of the LIAISON ANA screen assay for antinuclear antibody testing in autoimmune diseases. (United States)

    Ghillani, P; Rouquette, A M; Desgruelles, C; Hauguel, N; Le Pendeven, C; Piette, J C; Musset, L


    Antinuclear antibodies (ANA) are widely detected by immunofluorescence on HEp-2 cells in patients with connective tissue diseases and other pathological conditions. We evaluated the first-automated chemiluminescence immunoassay for the detection of ANA (LIAISON ANA screen, DiaSorin). This study was carried out simultaneously in two laboratories by testing 327 patient samples with clinically defined connective diseases, 273 routine samples for ANA screening, and 300 blood donors. A total of 268 out of 337 IIF-positive sera were positive with LIAISON ANA screen (79.5% of agreement) and 240 out of 263 IIF-negative sera were negative with LIAISON ANA screen (91.2% of agreement). After resolution of discrepant results, the concordance reached, respectively, 94.9% and 98.8%. The specificity was 99.3% and the sensitivity was 94%. Unlike results obtained by other ANA screening assays, we observed acceptable sensitivity and specificity. Despite the presence of HEp-2 cell extract, we failed to detect some antibodies as antinucleolar, antinuclear envelope, and antiproliferating cell nuclear antigen. This automated assay allows quick process to results and exhibits satisfactory sensitivity for the detection of the main ANA specificities of connective tissue diseases.

  13. Logistic Regression Analysis and Nursing Interven-tions for High-risk Factors for Pressure Sores in Pa-tients in a Surgical Intensive Care Unit

    Institute of Scientific and Technical Information of China (English)

    Xin-Ran Wang∗; Bin-Ru Han


    Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam-ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results: According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were sta-tistically greater in the pressure sore group than in the control group ( P Conclusions: The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of de-compression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.

  14. Nursing Analysis of Surgical Treatment of Ovarian Cancer Patient%卵巢肿瘤患者手术治疗的护理分析

    Institute of Scientific and Technical Information of China (English)

    王强; 张奕坚


    ObjectiveTo study the operation ovarian tumor clinical nursing methods in order to improve the patient's quality of life.Methods To analysis the 50 cases of patients with ovarian tumor surgery nursing data.Results The surgery of ovarian benign tumor could cut the respectable tumors or the ipsilateral ovary, the prognosis is good; laparoscopic surgery had a greater advantage than open surgery.Conclusion Actively cooperate with treatment, anxiety relief; correcting nutritional disorders, mood stabilizers in order to correctly treat diseases, and strengthen confidence in the proper treatment had played an important significance in improving efficiency and quality of the nursing care.%目的:探讨卵巢肿瘤患者临床手术治疗护理方法,提高患者的生活质量。方法对50例卵巢肿瘤患者的手术治疗护理资料进行分析。结果卵巢良性肿瘤手术可切除肿瘤或患侧卵巢,预后良好;腹腔镜手术较比开腹手术治疗有较大优势。结论主动配合治疗,焦虑减轻。纠正营养失调,患者情绪稳定,能正确对待疾病,坚定治疗信心。对提高护理工作效率和质量有着重要意义。

  15. 重型颅脑损伤术后早期康复护理%Early rehabilitation nursing after surgical treatment of severe cranial injury

    Institute of Scientific and Technical Information of China (English)

    李永红; 赵梅; 王婷婷


    @@ INTRODUCTION With developing of modern life, increasing of vehicles, incidence ofcranial injury is increasing and severe cranial injury is the mostcommon and severe. Because the age of injured patients is youmg,life quality will be influenced seriously if rehabilitation in maximaldegree can' t be achieved after operation that is a heavy load to thefamily and society. From September 1999, our department begaurehabilitation nursing in early stage for patients with severe cranialinjury. 60 patients with GLS score at 6- 8 were analyzed in thisarticle.

  16. Intentional self-harm in children and adolescents: A study from psychiatry consultation liaison services of a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Sandeep Grover


    Full Text Available Objective: The objective of this study was to evaluate the socio-demographic and the clinical profile of children and adolescents presenting with Intentional self-harm. Materials and Methods: Records of all children and adolescents (≤19 years seen by the consultation liaison (CL services during the period of 2000-2012 were screened. Patients with a diagnosis of intentional self-harm (at the time of assessment were taken up for this study. Data was extracted from the records, to study the socio-demographic and clinical profile. Results: During the study period, 101 patients aged ≤19 years and diagnosed with intentional self-harm at the time of admission were evaluated by the psychiatry CL services in various emergency and medical surgical wards. In the study population, females (N = 61; 60.4% outnumbered males. The age of the patients ranged from 12 to 19 with a median and mean of 17.0 years (standard deviation-1.6 years; interquartile range 16-18 years. Children and adolescent with self harm were more commonly females, from nuclear families, middle socio-economic status and Hindu by religion. The common method of self-harm in adolescents is by ingestion of insecticides (65% and the self-harm behavior was often precipitated by interpersonal problems in the family context. About one-fifth of the patients have psychiatric morbidity. Conclusion: Findings suggest that the most common method of intentional self-harm in children and adolescents is consumption of insecticides and precipitated by interpersonal problems in the family context.

  17. Multimodal strategies to improve surgical outcome

    DEFF Research Database (Denmark)

    Kehlet, Henrik; Wilmore, Douglas W


    surgical procedures or require only 1 to 2 days of postoperative hospitalization. Reorganization of the perioperative team (anesthesiologists, surgeons, nurses, and physical therapists) will be essential to achieve successful fast track surgical programs. CONCLUSIONS: Understanding perioperative...... track" surgery programs represents the major challenge for the medical professionals working to achieve a "pain and risk free" perioperative course....

  18. Good nurse, bad nurse.... (United States)

    Alavi, C; Cattoni, J


    The construction of the nursing subject is discussed. The paper takes a historical perspective, arguing that the range of speaking positions available to the nurse is limited by gender, class and education. It evaluates the position of nursing in the university, showing how this also has propensity to limit the development of the nursing profession.

  19. Electronic nursing care reminders: implications for nursing leaders. (United States)

    Piscotty, Ronald J; Kalisch, Beatrice; Gracey-Thomas, Angel; Yarandi, Hossein


    The aim of this study is to report the results of a replication study of the relationship between self-reported nursing care reminder (NCR) use and missed nursing care. A descriptive cross-sectional correlational design was used. The sample (N = 124) was composed of medical/surgical and ICU RNs working on acute care hospital units in a large Midwestern teaching hospital. The MISSCARE Survey, Nursing Care Reminders Usage Survey, and the Impact of Health Care Information Technology Survey were used to collect data. Adjusted hierarchical multiple regression was used to determine study outcomes. Nurses who use NCRs more frequently have decreased reports of missed nursing care. Nurses who perceive the impact of healthcare technology as positive on their practice also have decreased missed nursing care. The results of this study suggest that NCRs are an effective intervention to decrease missed nursing care in acute care hospitals.

  20. Treatment and Nursing Strategy for Patients with Surgical Fracture Plus Pressure Score%外科骨折患者褥疮治疗及护理对策

    Institute of Scientific and Technical Information of China (English)



    Objective: To investigate the efficacy of strengthen the nursing intervention combine with bedsore ointment in the treatment ofⅢ, Ⅳ bedsore. To study the prevention and nursing methods for patients with fractures plus pressure ulcer.Method:100 cases ofⅢ,Ⅳ bedsore were randomly divided into treatment group (50 cases) and control group (50 cases), the two groups were given the basic nursing , nutrition support care and conventional pressure ulcer prevention method. The treatment group was given bedsore ointment. After treatment, time and pressure ulcer healing efficacy of the two groups were compared.Result:The treatment group total effective rate (100%) was higher than the control group(54.00%)(P<0.05). The pressure ulcer healing time compared between the two groups had statistical significance (P<0.05).Conclusion: Strengthen the nursing intervention combine with bedsore ointment has certain clinical value in the treatment of pressure sores, worthy of promotion.%目的:研究探讨护理干预结合本院研制的褥疮膏治疗Ⅲ度、Ⅳ度褥疮的疗效,并分析褥疮形成原因与护理对策。方法:将100例Ⅲ度、Ⅳ度褥疮患者随机分为实验组(50例)和对照组(50例),两组均给予基础护理、营养支持护理及常规的褥疮防治方法,实验组加用褥疮膏治疗。比较两组疗效及褥疮愈合时间。结果:实验组总有效率达到100%,高于对照组的54.00%(P<0.05);对照组褥疮愈合时间(75.4±16.6)d,实验组为(43.7±13.4)d,两组比较差异具有统计学意义(P<0.05)。结论:护理干预结合褥疮膏在治疗褥疮方面具有一定的临床使用价值,对各种程度的褥疮,尤其是重度褥疮效果确切、简单易行、安全实用、经济实惠,完全可避免手术植皮等,减轻患者各重负担,值得推广。

  1. Practice and Reflection of Theory-Practice Integration in Surgical Nursing Teaching%理实一体化在外科护理教学中的实践与思考

    Institute of Scientific and Technical Information of China (English)



    目的:院探讨理实一体化教学模式在外科护理学教学中的应用效果。方法院随机抽取实验班(54名)和对照班(54名)。对照班采用传统教学方法授课。实验班采用理实一体化教学模式教学,即在模拟环境中边教、边学、边做,师生共同完成教学任务。结果院实验班的理论及综合技能考核成绩均显著高于对照班。结论院理实一体化教学模式有利于提高护生的理论成绩、操作技能及综合能力。%Objective:To investigate the application results of the-ory-practice integrated teaching mode in surgical nursing teach-ing. Method:To randomly select experimental class (54 students) and a control class (54 students). To adopt traditional teaching me-thods in control class and theory-practice integrated teaching mode in experimental class, namely, the teacher and students work together to complete the task of teaching in teaching, learn-ing and doing in a simulated environment. Result:The theoretical and comprehensive skills assessment scores of the experimental class were significantly higher than those of the control class. Conclusion:Theory-practice integrated teaching mode helps im-prove nursing students' theoretical achievements, skills and com-prehensive abilities.

  2. Clinical Application of Ethics Care in the Pain Nursing in Surgical Patients%伦理关怀在外科患者术后疼痛护理中的临床应用

    Institute of Scientific and Technical Information of China (English)



    Objective:To study the effect of ethical care on postoperative pain of surgical patients.Method:80 patients with pain after operation in department of general surgery were randomly divided into observation group and control group,each of 40 cases,the observation group were given specific ethical care on the basis of postoperative routine nursing,while the control group were given routine nursing after surgery.Postoperative pain degree and quality of life of two groups were compared.Result:The two groups of Postoperative pain degree and quality of life in the observation group were significantly better than those in the control group(P<0.05). Conclusion:The ethical care can significantly reduce pain and improve the quality of life of patients with surgical postoperative pain.%目的:探讨伦理关怀在外科患者术后疼痛护理中对患者疼痛的影响。方法:将80例普外科手术后疼痛患者随机分为观察组和对照组,各40例,观察组在外科术后常规护理的基础上,还对患者实施针对性地伦理关怀,而对照组只进行外科术后常规护理。比较两组术后疼痛程度分级和对生活质量的影响。结果:治疗组患者经护理后术后疼痛程度和对生活质量影响均明显优于对照组(P<0.05)。结论:伦理关怀在外科术后疼痛患者的护理中能够显著减轻患者的疼痛和改善疼痛患者的生活质量。

  3. Targeted Treatment and Psychological Nursing Measures for Common Surgical Wounds%外科常见伤口的针对性治疗方法及心理护理措施

    Institute of Scientific and Technical Information of China (English)



    Objective To explore the targeted treatment and psychological nursing measures for common surgical wounds.Methods A retrospective review was conducted for the clinical data of 82 patients receiving dressing treatment in our community health service center, and random grouping method was adopted. Routine treatment was offered to the 41 patients in the control group, 41 patients in the observation group, psychological nursing was provided in addition to routine treatment.Results The wounds in patients in both the observation group and the control group were al healed, with the anxiety and pain scores in the observation group significantly lower than those of the control group,P 0.05.Conclusion Psychological nursing taken on the basis of conventional treatment can relieve anxiety and pain in patients.%目的:外科常见伤口的针对性治疗方法及心理护理措施。方法选择在我社区换药治疗的82例患者的临床资料进行回顾性总结,采用随机分组法。对照组的41例患者我们只采取常规治疗方法,在常规治疗方法的基础上,观察组采用心理护理。结果6观察组和对照组患者的伤口均愈合,观察组的焦虑评分及疼痛评分低于对照组,P<0.01,两组伤口的愈合时间相比差异无统计学意义,P>0.05。结论对外科常见的伤口采取常规治疗的基础上采用心理护理,可以缓解患者的焦虑情绪,减轻疼痛感。

  4. Nursing intervention of incision specialist nurse on with surgical incisions of diabetic patients with gastric carcinoma%伤口专科护士对胃癌合并糖尿病患者手术切口的护理干预

    Institute of Scientific and Technical Information of China (English)

    李琴; 徐亚香; 张倩


    目的:探讨伤口专科护士对胃癌合并糖尿病患者切口护理干预效果。方法:对56例胃癌合并糖尿病患者采用伤口专科护士参与管理的方式进行护理。评价患者术后切口感染率和平均住院日。结果:患者术后切口感染率5.36%,平均住院时间(9.03±3.80)d。结论:伤口专科护士的护理干预,可降低胃癌合并糖尿病患者的切口感染率,缩短平均住院日,促进患者康复。%Objective:To discuss the effect of enterostomal therapists′intervention with surgical incisions of diabetic patients with gastric carcinoma .Meth-ods:56 patients with diabetic complication gastric carcinoma cared with wound specialist nurse .To evaluate infection rate of patients′postoperative incisions and their average length of stay.Results:The infection rate of postoperative incisions was 5.36%,and average inhospital time was(9.03 ±3.80) days.Con-clusion:With the nursing of wound specialist nurse,the infection rate of incisions of diabetic patients with gastric carcinoma is effectively decreased ,reduced the average length of stay and promote the rehabilitation of patients .

  5. My favorite tips for engaging the difficult patient on consultation-liaison psychiatry services. (United States)

    Knesper, David J


    Disengagement is the main enemy for the consultation-liaison psychiatrist. The goal of the first interview is to transform the unwilling, uncooperative, and often difficult and hostile patient into an engaged interview participant. Otherwise, the interview is an unproductive interrogation and an unpleasant power struggle. Once the difficult patient is engaged, the more typical psychiatric interview can begin. The three interview-engagement tips or techniques described are among the author's favorite ways to overcome the impediments to engagement most often associated with difficult patients.

  6. Maximizing clinical revenues of psychiatric consultation-liaison services. An economic commentary. (United States)

    Koran, L M; Foley, T


    Clinical revenues rarely suffice to support an academic psychiatric consultation-liaison (C-L) service. Nonetheless, the revenue provides a major source of financial support. The authors describe ten steps that can help maximize the financial return from the C-L service's clinical efforts. The steps range from establishing a reasonable fee schedule and creating an efficient charge document, through educating residents and faculty physicians about documentation requirements, to billing quickly and insisting on meaningful monthly reports from the faculty practice plan. A number of "magic phrases" (proper and key wording for reimbursement) are described in detail that can markedly reduce documentation requirements.

  7. Liaison-Supplemented Navigation of a Crewed Vehicle in a Lunar Halo Orbit (United States)

    Parker, Jeffrey S.; Leonard, Jason M.; Anderson, Rodney L.; Born, George H.


    This paper offers an early examination of the challenges of navigating a crewed vehicle, with all of the associated unmodeled accelerations that arise from the crew's activities, in an orbit about the Earth-Moon L2 point. The combination of the unstable nature of libration orbits with the lack of acceleration knowledge makes the station keeping strategy challenging. It is found that a combination of ground tracking and satellite-to-satellite tracking produces the most favorable navigation accuracy. This paper examines the costs and benefits of applying LiAISON (Linked Autonomous Interplanetary Satellite Orbit Navigation) to a crewed mission in an unstable L2 orbit.

  8. Dangerous Liaisons: Working Women and Sexual Justice in the American Civil War


    Barber, E. Susan; Ritter, Charles F.


    The American Civil War drew thousands of white and black women into paid and unpaid work for the Union and Confederate armies.  While the armies provided some women with a reliable income, their very proximity also represented a dangerous liaison that drew them into closer contact with Union troops that rendered them vulnerable to sexual assault.  By 1865, more than four hundred Union soldiers had been court-martialed for sexual crimes against white and black women and girls. At the war’s ons...

  9. Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportive strategies. (United States)

    Dawson, Angela J; Stasa, Helen; Roche, Michael A; Homer, Caroline S E; Duffield, Christine


    This study aimed to reveal nurses' experiences and perceptions of turnover in Australian hospitals and identify strategies to improve retention, performance and job satisfaction. Nursing turnover is a serious issue that can compromise patient safety, increase health care costs and impact on staff morale. A qualitative design was used to analyze responses from 362 nurses collected from a national survey of nurses from medical and surgical nursing units across 3 Australian States/Territories. A qualitative design was used to analyze responses from 362 nurses collected from a national survey of nurses from medical and surgical nursing units across 3 Australian States/Territories. Key factors affecting nursing turnover were limited career opportunities; poor support; a lack of recognition; and negative staff attitudes. The nursing working environment is characterised by inappropriate skill-mix and inadequate patient-staff ratios; a lack of overseas qualified nurses with appropriate skills; low involvement in decision-making processes; and increased patient demands. These issues impacted upon heavy workloads and stress levels with nurses feeling undervalued and disempowered. Nurses described supportive strategies: improving performance appraisals, responsive preceptorship and flexible employment options. Nursing turnover is influenced by the experiences of nurses. Positive steps can be made towards improving workplace conditions and ensuring nurse retention. Improving performance management and work design are strategies that nurse managers could harness to reduce turnover.

  10. Cuidados de enfermagem realizados ao paciente cirúrgico no período pré-operatório Cuidados de enfermería realizados en el paciente quirúrgico en el período preoperatorio Nursing care applied to surgical patient in the pre-surgical period

    Directory of Open Access Journals (Sweden)

    Berendina Elsina Bouwman Christóforo


    orientaciones relacionadas con el procedimiento quirúrgico y con los cuidados de enfermería efectuados. Se percibe que algunos de estos cuidados incomodan a los pacientes, por ejemplo: la colocación de la camisa quirúrgica, la retirada de la ropa íntima y de la prótesis dentaria. En fin, este estudio permitió que se identificasen fragilidades en el cuidado del paciente quirúrgico, en el sentido de contribuir para la reflexión sobre la necesidad de introducir cambios en las prácticas de la enfermería en el ambiente hospitalario.This is a descriptive, cross-sectional, qualitative study performed at the surgical units of two hospitals in the city of Ponta Grossa. The purpose was to characterize the nursing care provided to patients in the pre-surgical period of elective surgeries. The studied population, chosen as a convenience sample, consisted of 129 patients, aged 18 to 70 years. Data collection was performed through structured interviews carried out at the hospital after the surgery. The results show that the care provided is mainly focused on the physical preparation of the patient, in which few instructions are provided about the surgical procedure and the nursing care delivered. It was also observed that some types of nursing care embarrass the patients, such as wearing the surgical gown and removing their underwear and dental prosthetics. Eventually, this study allowed for the identification of weaknesses in the care provided to the surgical patients, so as to contribute for the reflection about the need to make changes in the nursing practices performed in the hospital.

  11. Humanización de la Atención de Enfermería en el Quirófano Humanization of caring: Nursing at Surgical Center

    Directory of Open Access Journals (Sweden)

    Carolina Heluy de Castro


    Full Text Available En el quirófano, muchas veces, la atención al paciente es impersonal y, naturalmente, los problemas individuales son ignorados. El estudio pretende identificar lo que representa la humanización para los profesionales y su relación con la satisfacción del paciente de este quirófano, a través del contacto directo con ellos. Probablemente, una atención humanizada es el primer paso para alcanzar el éxito y la calidad asistencial en los servicios de salud.Often, in surgical center, patient´s attendance is impersonal and, naturally, peculiar problems are unawarred. The aim of this study is to recognize professionals and their relationship with patients´satisfaction representing around humanization, an in-depth direct contact with sanitary staff and patients at those operating rooms. Probably, a humanization of caring is the first steep to reach success and quality of attendance in the health services.

  12. Surgical Navigation

    DEFF Research Database (Denmark)

    Azarmehr, Iman; Stokbro, Kasper; Bell, R. Bryan


    were identified in the field of traumatology. Treatment of complex orbital fractures was considerably improved by the use of SN compared with traditionally treated control groups. Conclusions: SN seems to be a very promising addition to the surgical toolkit. Planning details of the surgical procedure...... in a 3-dimensional virtual environment and execution with real-time guidance can significantly improve precision. Among factors to be considered are the financial investments necessary and the learning curve....

  13. 基于案例的行动导向学习模式在高职护理专业外科护理学课程中的运用%Case-based action-oriented learning model in advanced vocational nursing education of Surgical Nursing

    Institute of Scientific and Technical Information of China (English)

    高薇; 孙静; 徐莉; 卢玉仙


    目的:评价基于案例的行动导向学习模式在高职护理专业外科护理学课程教学中的应用效果。方法选取盐城卫生职业技术学院2013级护理专业的两个班级学生,观察组51名,对照组53名。观察组采用基于案例的行动导向学习模式,对照组采用传统教学法。比较两组学生综合考核成绩及自主学习能力情况。结果观察组学生操作技能、分析问题、沟通技能、团队协作共4个方面成绩优于对照组,差异有统计学意义( P<0.05);观察组学生的自主学习能力总分及自我管理、学习合作、信息素质维度得分明显高于对照组,差异有统计学意义( P<0.05)。结论基于案例的行动导向学习模式在高职护理专业外科护理学课程中的运用,能够有效地提高学生的综合能力,同时提高了学生的自我管理和信息收集能力以及学习合作能力。%Objective To evaluate effect of case-based action-oriented learning mode based on cases in advanced vocational nursing education of Surgical Nursing. Methods A total of 103 nursing students from two classes enrolled in 2013 were selected and divided into experimental group ( 51 ) and control group ( 53 ) . Students in experimental group were taught in action-oriented learning mode based on cases, while those in control group received traditional teaching. Students′ performance in theory and practice combination and self-learning ability were compared between two groups. Results Students in experimental group significantly performed better in operating skills, problem analysis, communication skills and team skills (P<0.05) than those in control group. Overall score of self-learning ability and score in the dimension of self-management, cooperative learning, information literacy in experimental group were significantly higher than that in control group (P<0.05). Conclusions Application of case-based action-oriented learning mode based on cases

  14. Technical liaison with the Institute of Physical Chemistry (Russian Academy of Sciences)

    Energy Technology Data Exchange (ETDEWEB)

    Delegard, C.H. [Pacific Northwest National Lab., Richland, WA (United States)


    DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996.

  15. Liaison activities with the institute of physical chemistry, Russian academy of sciences: FY 1996

    Energy Technology Data Exchange (ETDEWEB)

    Delegard, C.H.


    The task ``IPC/RAS Liaison and Tank Waste Testing`` is a program being conducted in fiscal year (FY) 1996 with the support of the U.S. Department of Energy (DOE) Office of Science and Technology, EM-53 Efficient Separations and Processing (ESP) Crosscutting Program, under the technical task plan RLA6C342. The principal investigator is Cal Delegard of the Westinghouse Hanford Company. The task involves a technical liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences (IPC/RAS) and their DOE-supported investigations into the fundamental and applied chemistry of the transuranium elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. The task has three purposes: 1. Providing technical information and technical direction to the IPC/RAS. 2. Disseminating IPC/RAS data and information to the DOE technical community. 3. Verifying IPC/RAS results through laboratory testing and comparison with published data. This report fulfills the milestone ``Provide End-of-Year Report to Focus Area,`` due September 30, 1996.

  16. 外科住院患者护理安全影响因素调查及分析%InvestigationandAnalysisonNursingSafetyFactorsofSurgicalHospitalPatients

    Institute of Scientific and Technical Information of China (English)

    邹文妹; 黄俊喜; 毛君晓; 熊云珑; 刘琼玲; 刘贤英; 邱志英


    Objective To investigate the nursing safety factors of surgical hospital patients in order to provide reference for taking preventive measures. Methods Our sixty cases of surgical nursing staff and patients with family members from August 2010 to August 2012 were surveyed by the self-made general data questionnaire according to the literature review in order to investigate the nursing safety factors of surgical hospital patients, and then we put forward speciifc measures. Results The dimension scores of nursing safety factors of surgical hospital patients were as follows: the nurse quality and ability, clinical nursing work and internal environment, the place for clinical nursing, organization and management, patient, care worker. Conclusion The nursing safety of surgical hospital patients are affected by various factors. In daily work, we can take the corresponding measures to strengthen the surgery in hospital patient care and safety management, and improve the prognosis of patients.%  目的 探讨外科住院患者护理安全影响因素,为针对性的采取预防对策提供参考依据。方法 采用根据相关文献制定的护理安全影响因素调查问卷调查随机抽取2011年1月至2012年12月我院60例外科护理人员和60例患者家属,探讨外科住院患者护理安全影响因素,并提出针对性的预防干预措施。结果 外科护理人员和患者家属外科住院患者护理安全影响因素各维度得分依次为:护士素质与能力、护理工作内部环境、临床工作场所、组织管理、患者、照护人员。结论 外科住院患者护理安全受多方面因素的影响,我们在临床医疗过程

  17. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team


    Adriana Cristina de Oliveira; Camila Sarmento Gama


    AbstractOBJECTIVEEvaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.METHODA prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.RESULTS18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7%) had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on ...

  18. A experiência de cuidar do paciente cirúrgico: as percepção dos alunos de um curso de graduação em enfermagem The experience of care for the surgical patient: the nursing students' perceptions

    Directory of Open Access Journals (Sweden)

    Flávia Tatiana Pedrolo


    Full Text Available Este estudo teve como objetivo apreender as percepções que os alunos de graduação de enfermagem têm do ato de cuidar do paciente cirúrgico. Foi utilizada a metodologia qualitativa e os dados foram coletados por entrevistas semi-estruturadas, A análise dos dados identificou as categorias: caracterização do paciente cirúrgico, habilidades necessárias para o cuidar, dificuldades para o cuidar, resultados percebidos quanto à aprendizagem do cuidar. As categorias foram integradas no tema "vencer a cultura do cuidar do paciente cirúrgico", pelo qual apreendemos que a experiência é influenciada pelos valores, conhecimentos e crenças da cultura da enfermagem cirúrgica, encontradas no cotidiano da assistência e na literatura.The purpose of this study was to apprehend the nursing students' perceptions about the experience of caring for the surgical patient. Using the qualitative methodology the authors identified the categories: the characterization of the surgical patient, the skills to care, the difficulties to care and the perceptible outcomes of the learning to care. The categories were integrated into the theme "To win the culture of care of the surgical patient". The results evidence the great cultural influence of values, knowledge and believes of surgical nursing met in the practical context and in the literature.

  19. Nursing Supplies (United States)

    ... Stages Listen Español Text Size Email Print Share Nursing Supplies Page Content Article Body Throughout most of ... budget. (Nursing equipment also makes wonderful baby gifts.) Nursing Bras A well-made nursing bra that comfortably ...

  20. Outcomes of ADN-BSN partnerships to increase baccalaureate prepared nurses. (United States)

    Sizemore, Mary H; Robbins, Leslie K; Hoke, Mary M; Billings, Diane M


    The limited supply of BSN nurses hinders efforts to increase patient care quality and address health disparities. In largely rural and economically disadvantaged areas, associate degree prepared nurses provide the majority of nursing services. To address a statewide need, a BSN Program and 3 ADN Programs formed a partnership to take BSN education to rural and medically underserved areas. This article describes the program planning, implementation, and evaluation using an adapted assessment framework with partnership principles as its foundation. Interactive television, internet education components, local clinical experiences, and distant nursing faculty liaisons were used. The nursing course sequence was completed by 101 of 102 students. Hall's Professionalism Scale, the California Critical Thinking Disposition Inventory, and the California Critical Thinking Skills Test measured the increases found in professional socialization and critical thinking. Use of the adapted theoretical framework represented a strategic approach to developing a distance delivered nursing education program.

  1. Dangerous Liaisons?

    Directory of Open Access Journals (Sweden)

    Norman L Jones


    Full Text Available I sometimes feel that I am so dominated by circumstances and coincidences that I have little free choice, for example, when approaching an editorial. A case in point was a few days last month during which I attended a well-sponsored meeting of the Ontario Lung Association, reviewed a couple of papers reporting drug trials, read of the threats of litigation made by pharmaceutical companies to two Ontario researchers, heard of a public apology made by the New England Journal of Medicine regarding reviewers' conflicts of interest and received a critical letter from Dr Rob McFadden, an associate editor of the Canadian Respiratory Journal, about a sponsored publication that accompanied the last issue of 1999. All this I suppose reflects our rather ambivalent relationship with the pharmaceutical industry that supports many professional and academic programs but clearly expects some returns in addition to corporate tax benefits. We are now dependent on the industry's financial backing for academic and professional meetings that have become so large that they require large and expensive venues. But then the industry has the right to expect some return on its "investment" in such meetings.

  2. Dangerous liaisons

    DEFF Research Database (Denmark)

    Ekdahl, Kristina N; Teramura, Yuji; Hamad, Osama A


    Innate immunity is fundamental to our defense against microorganisms. Physiologically, the intravascular innate immune system acts as a purging system that identifies and removes foreign substances leading to thromboinflammatory responses, tissue remodeling, and repair. It is also a key contributor...

  3. An overview of nursing in Europe: a SWOT analysis. (United States)

    Manzano-García, Guadalupe; Ayala-Calvo, Juan-Carlos


    This article sets out a global analysis of the weaknesses, threats, strengths and opportunities that define the current situation of nursing in Europe. The nursing profession in Europe is suffering from a crisis of self-efficacy with the syndrome of burnout being one of its consequences. Other weaknesses include shortage of staff, job insecurity, devalued nursing image in society and the lack of recognition of emotional and psychological dimensions of care. The threats to this profession are linked to the lack of prestige and social recognition and to the current economic crisis in Europe. The European economic crisis favours staff shortages and increased European migration flow. The strength of the group lies in the art of caring, which is its defining feature. Primary Care Nursing and Hospital Liaison Nursing demonstrate the great professional adaptability in meeting the needs of the ever-changing society. The European Higher Education Area and the strengthening of the specialties provide opportunities for the nursing profession. Both represent an important progress towards solid professionalism that will give nursing greater visibility. Moreover, nursing must implement strategies to disseminate its activity and emerge from anonymity. Nursing must show society the image it wants to project.

  4. New horizons: Australian nurses at work in World War I. (United States)

    Harris, Kirsty


    More than 3000 nurses from Australia served with the Australian Army Nursing Service or the British nursing services during World War I. These nurses served in various theatres of war including Egypt, France, India, Greece, Italy and England. They worked in numerous roles including as a surgical team nurse close to the front working under fire; nursing on hospital ships carrying the sick and wounded; or managing hospital wards overrun with patients whilst dealing with a lack of hospital necessities. The skills and roles needed to be a military nurse significantly differed to the skills required to nurse in Australia.

  5. 75 FR 66766 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board... (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the..., 2010. John R. Bucher, Associate Director, National Toxicology Program. BILLING CODE 4140-01-P...

  6. 75 FR 21003 - National Toxicology Program (NTP); Office of Liaison, Policy and Review Meeting of the NTP Board... (United States)


    ... HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review Meeting of the... ``Request for Comments'' below). The NTP welcomes toxicology study information from completed, ongoing, or... concept may also encompass larger public health issues or topics in toxicology that could be...

  7. Economic evaluation of osteoporosis liaison service for secondary fracture prevention in postmenopausal osteoporosis patients with previous hip fracture in Japan. (United States)

    Moriwaki, K; Noto, S


    A model-based cost-effectiveness analysis was performed to evaluate the cost-effectiveness of secondary fracture prevention by osteoporosis liaison service (OLS) relative to no therapy in patients with osteoporosis and a history of hip fracture. Secondary fracture prevention by OLS is cost-effective in Japanese women with osteoporosis who have suffered a hip fracture.

  8. 43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons. (United States)


    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Liaison with other governmental agencies and submission of views by interested persons. 19.4 Section 19.4 Public Lands: Interior Office of the... recommendations as to the suitability or nonsuitability for preservation as wilderness of any roadless area in...

  9. The relationship between electronic nursing care reminders and missed nursing care. (United States)

    Piscotty, Ronald J; Kalisch, Beatrice


    The purpose of the study was to explore relationships between nurses' perceptions of the impact of health information technology on their clinical practice in the acute care setting, their use of electronic nursing care reminders, and episodes of missed nursing care. The study aims were accomplished with a descriptive design using adjusted correlations. A convenience sample (N = 165) of medical and/or surgical, intensive care, and intermediate care RNs working on acute care hospital units participated in the study. Nurses from 19 eligible nursing units were invited to participate. Adjusted relationships using hierarchical multiple regression analyses indicated significant negative relationships between missed nursing care and nursing care reminders and perceptions of health information technology. The adjusted correlations support the hypotheses that there is a relationship between nursing care reminder usage and missed nursing care and a relationship between health information technology and missed nursing care. The relationships are negative, indicating that nurses who rate higher levels of reminder usage and health information technology have decreased reports of missed nursing care. The study found a significant relationship between nursing care reminders usage and decreased amounts of missed nursing care. The findings can be used in a variety of improvement endeavors, such as encouraging nurses to utilize nursing care reminders, aid information system designers when designing nursing care reminders, and assist healthcare organizations in assessing the impact of technology on nursing practice.

  10. Patient hand hygiene practices in surgical patients. (United States)

    Ardizzone, Laura L; Smolowitz, Janice; Kline, Nancy; Thom, Bridgette; Larson, Elaine L


    Little is known about the hand hygiene practices of surgical patients. Most of the research has been directed at the health care worker, and this may discount the role that hand hygiene of the surgical patient might play in surgical site infections. A quasiexperimental, pretest/post-test study was conducted in which patients (n = 72) and nurses (n = 42) were interviewed to examine perceptions and knowledge about patient hand hygiene. Concurrently, observations were conducted to determine whether surgical patients were offered assistance by the nursing staff. Following an initial observation period, nursing staff received an educational session regarding general hand hygiene information and observation results. One month after the education session, patient/nurse dyads were observed for an additional 6 weeks to determine the impact of the educational intervention. Eighty observations, 72 patient interviews, and 42 nurse interviews were completed preintervention, and 83 observations were completed postintervention. In response to the survey, more than half of patients (n = 41, 55%) reported that they were not offered the opportunity to clean their hands, but a majority of the nursing staff reported (n = 25, 60%) that they offered patients the opportunity to clean their hands. Prior to the educational intervention, nursing staff assisted patients in 14 of 81 hand hygiene opportunities. Following the intervention, nursing staff assisted patients 37 out of 83 opportunities (17.3% vs 44.6%, respectively, [χ(2)1 = 13.008, P = .0003]). This study suggests that efforts to increase hand hygiene should be directed toward patients as well as health care workers. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  11. Intraoperative monitoring technician: a new member of the surgical team. (United States)

    Brown, Molly S; Brown, Debra S


    As surgery needs have increased, the traditional surgical team has expanded to include personnel from radiology and perfusion services. A new surgical team member, the intraoperative monitoring technician, is needed to perform intraoperative monitoring during procedures that carry a higher risk of central and peripheral nerve injury. Including the intraoperative monitoring technician on the surgical team can create challenges, including surgical delays and anesthesia care considerations. When the surgical team members, including the surgeon, anesthesia care provider, and circulating nurse, understand and facilitate this new staff member's responsibilities, the technician is able to perform monitoring functions that promote the smooth flow of the surgical procedure and positive patient outcomes.

  12. The role of the surgical care practitioner within the surgical team. (United States)

    Quick, Julie

    Changes to the surgical workforce and the continued development of health policy have perpetuated the requirement for innovative perioperative roles. The surgical care practitioner is a nurse or allied health professional who works within a surgical team and has advanced perioperative skills, including the ability to undertake surgical interventions.With only limited literature evaluating this role, any benefits of their inclusion to a surgical team are largely anecdotal. This article presents the findings of an autoethnographic inquiry that explored the experiences of surgical team members who worked with the nurse researcher in her role as surgical care practitioner. Surgeons identified the provision of a knowledgeable, competent assistant and operator who enhanced patient care, helped maintain surgical services and supported the training of junior doctors. The professional, ethical and legal obligations of advanced perioperative practice were upheld. Interprofessional collaboration was improved, as was service provision. This further enhanced the patient experience. The traditional viewpoint that nurses who undertake tasks previously associated with medicine should be working to the standard of a doctor is challenged but requires further examination.

  13. Etude de la liaison BTS/BSC du réseau GSM



    Le réseau GSM est la première norme de téléphonie mobile dans le monde. Un nombre croissant des abonnés en face des ressources radio limitées demande une utilisation adéquate de ces ressources. Le transport de la bonne qualité de service des réseaux cellulaires constitue la préoccupation majeure des opérateurs de réseaux. Dans ce contexte, nous avons étudiée dans ce projet les liaisons entre la BTS et BSC et nous nous sommes intéressés sur les PDH etles trames E1, E2, E3 et ...

  14. Congressional liaison task force - a briefing of the October 1994 meeting

    Energy Technology Data Exchange (ETDEWEB)



    As the US Senate overturned roadblocks attempting-unsuccessfully-to halt passage of the elementary and secondary education reauthorization legislation representatives from several federal agencies and laboratories addressed Congressional Liaison Task Force (CLTF) participants October 12th. They spoke about their commitment, programs, and accomplishments toward the nation`s science knowledge, particularly at the precollege level. Marjorie S. Steinberg legislative assistant to bill cosponsor Sen. Jeff Bingaman (DNM), and Gary Allen, Triangle Coalition director of Governmental affairs, spoke about education legislation and specifically about the Technology for Education Act that was on the Senate floor for a vote in October and now is law. Bruce A. Fuchs talked about the National Institute of Health`s (NIH) work in science literacy and education. The National Aeronautics and Space Administration`s (NASA) Frank C. Owens and Eddie Anderson contributed to this report.

  15. Library collection of the psychosocial publications in consultation-liaison psychiatry. (United States)

    McCartney, C F; Evans, D L; Richardson, W


    Psychiatric oncology is a relatively new area, and few comprehensive reviews of related subject matter are available. Thus, the psychiatrists at North Carolina Memorial Hospital who provide liaison to oncology saw the need for a collection of pertinent psychiatric oncology materials that could be studied by faculty, residents, and staff. Such materials would be valuable for patient consultation, lecture preparation, and research background. Their bibliography and library system are discussed here, with a description of the methods of its compilation. The unique features are referenced materials are filed in a centrally available location (departmental library), so that readers have immediate access to them, and bibliographic entries are stored in a small computer in the library, and can be retrieved by topic, title, author. The file currently holds over 340 articles, and is continuously updated. It has been extensively utilized by professionals in this tertiary care teaching hospital as well as in programs across the state.

  16. Assessment of a consultation-liaison psychiatry and psychology health care program

    Directory of Open Access Journals (Sweden)

    Paola BA Andreoli


    Full Text Available OBJECTIVE: To investigate the relevance of subjective criteria adopted by a psychiatry and psychology consultation-liaison service, and their suitability in the evaluation of case registries and objective results. METHODS: Semi-structured interviews were conducted and all supervisors of the university hospital service were interviewed. Routinely collected case registries were also reviewed. Standardized assessment with content analysis for each category was carried out. RESULTS: The results showed distortions in the adopted service focus (doctor-patient relationship and consultant requests. This focus is more on consulting physician-oriented interventions than on patients. DISCUSSION: Evaluation of the relevance of service criteria could help promoting quality assessment of the services provided, mainly when objective criteria have not yet been established to assure their suitability.

  17. Adding a dietitian to a Danish Liaison-team after discharge of geriatric patients at nutritional risk may save health care costs

    DEFF Research Database (Denmark)

    Pohju, Anne; Belqaid, Kerstin; Brandt, Christopher Flintenborg


    Background: A previous study investigated the value of adding a dietitian to a geriatric discharge Liaison-Team. The scope of this study was to explore the possible economic savings of this. Methods: Patients, 70+ and at nutritional risk, were randomized to receive discharge Liaison-Team either......,416 compared to €1,150 (ONS only) in the CG. For hospitalizations, estimated cost was €92,020 in the IG and €220,025 in the CG. Cost savings added up to €3,048 per patient in the IG. Conclusion: Adding a dietitian to a Danish geriatric discharge Liaison-Team decreased health care costs...

  18. Liaison activities with the Institute of Physical Chemistry/Russian Academy of Science Fiscal Year 1995

    Energy Technology Data Exchange (ETDEWEB)

    Delegard, C.H.


    Investigations into the chemistry of alkaline Hanford Site tank waste (TTP RL4-3-20-04) were conducted in Fiscal Year 1995 at Westinghouse Hanford Company under the support of the Efficient Separations and Processing Crosscutting Program (EM-53). The investigation had two main subtasks: liaison with the Institute of Physical Chemistry of the Russian Academy of Science and further laboratory testing of the chemistry of thermal reconstitution of Hanford Site tank waste. Progress, which was achieved in the liaison subtask during Fiscal Year 1995, is summarized as follows: (1) A technical dialogue has been established with Institute scientists. (2) Editing was done on a technical literature review on the chemistry of transuranic elements and technetium in alkaline media written by researchers at the Institute. The report was issued in May 1995 as a Westinghouse Hanford Company document. (3) Four tasks from the Institute were selected for support by the U.S. Department of Energy. Work on three tasks commenced on 1 March 1995; the fourth task commenced on 1 April 1995. (4) Technical information describing the composition of Hanford Site tank waste was supplied to the Institute. (5) A program review of the four tasks was conducted at the Institute during a visit 25 August to 1 September, 1995. A lecture on the origin, composition, and proposed treatment of Hanford Site tank wastes was presented during this visit. Eight additional tasks were proposed by Institute scientists for support in Fiscal Year 1996. (6) A paper was presented at the Fifth International Conference on Radioactive Waste Management and Environmental Remediation (ICEM`95) in Berlin, Germany on 3 to 9 September, 1995 on the solubility of actinides in alkaline media.

  19. rapid assessment of cataract surgical coverage in rural zululand

    African Journals Online (AJOL)

    Cataract surgical coverage (CSC) is a population-based index describing the proportion of ... visual acuity assessed by the nursing assistant using a modified Snellen 'E' .... Additional benefits of this procedure are high profile advertising of the ...

  20. Big Data and Perioperative Nursing. (United States)

    Westra, Bonnie L; Peterson, Jessica J


    Big data are large volumes of digital data that can be collected from disparate sources and are challenging to analyze. These data are often described with the five "Vs": volume, velocity, variety, veracity, and value. Perioperative nurses contribute to big data through documentation in the electronic health record during routine surgical care, and these data have implications for clinical decision making, administrative decisions, quality improvement, and big data science. This article explores methods to improve the quality of perioperative nursing data and provides examples of how these data can be combined with broader nursing data for quality improvement. We also discuss a national action plan for nursing knowledge and big data science and how perioperative nurses can engage in collaborative actions to transform health care. Standardized perioperative nursing data has the potential to affect care far beyond the original patient. Copyright © 2016 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  1. Surgical checklists: the human factor.

    LENUS (Irish Health Repository)

    O Connor, Paul


    BACKGROUND: Surgical checklists has been shown to improve patient safety and teamwork in the operating theatre. However, despite the known benefits of the use of checklists in surgery, in some cases the practical implementation has been found to be less than universal. A questionnaire methodology was used to quantitatively evaluate the attitudes of theatre staff towards a modified version of the World Health Organisation (WHO) surgical checklist with relation to: beliefs about levels of compliance and support, impact on patient safety and teamwork, and barriers to the use of the checklist. METHODS: Using the theory of planned behaviour as a framework, 14 semi-structured interviews were conducted with theatre personnel regarding their attitudes towards, and levels of compliance with, a checklist. Based upon the interviews, a 27-item questionnaire was developed and distribute to all theatre personnel in an Irish hospital. RESULTS: Responses were obtained from 107 theatre staff (42.6% response rate). Particularly for nurses, the overall attitudes towards the effect of the checklist on safety and teamworking were positive. However, there was a lack of rigour with which the checklist was being applied. Nurses were significantly more sensitive to the barriers to the use of the checklist than anaesthetists or surgeons. Moreover, anaesthetists were not as positively disposed to the surgical checklist as surgeons and nurse. This finding was attributed to the tendency for the checklist to be completed during a period of high workload for the anaesthetists, resulting in a lack of engagement with the process. CONCLUSION: In order to improve the rigour with which the surgical checklist is applied, there is a need for: the involvement of all members of the theatre team in the checklist process, demonstrated support for the checklist from senior personnel, on-going education and training, and barriers to the implementation of the checklist to be addressed.

  2. Guide for Instructors of Practical Nursing in South Carolina, Phase 2. (United States)

    Clemson Univ., SC. Vocational Education Media Center.

    The South Carolina Department of Education has printed an instruction manual for teacher use in schools of nursing. The guide covers the areas of medical surgical nursing, diagnosis of disease, dealing with the surgical patient, care of the aged, rehabilitation and chronic illness, nursing the cancer patient, gynecological disorders, respiratory…

  3. Nursing, Nursing Education, and Anxiety. (United States)

    Biggers, Thompson; And Others

    In response to the current crisis in the field of nursing, a study examined nursing students' perceived work-related stress and differences among associate degree, diploma, and baccalaureate nursing programs in their preparation of nursing students. The 171 subjects, representing the three different nursing programs, completed a questionnaire…

  4. Factors predicting adherence with psychiatric follow-up appointments for patients assessed by the liaison psychiatric team in the emergency department.

    LENUS (Irish Health Repository)

    Agyapong, Vincent I O


    Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.

  5. Kolb经验学习理论在“外科护理学”教学活动中应用的效果评价%Application of Kolb experience learning theory in Surgical Nursing teaching

    Institute of Scientific and Technical Information of China (English)

    刘燕南; 彭艾莉; 姚珺; 岳琳; 谌绍林


    目的 探讨Kolb经验学习理论在“外科护理学”教学中的应用效果.方法 便利抽取2012级护理专业2个大班120人为研究对象,随机分为2组,对照组实施传统教学,观察组实施基于Kolb经验学习理论的教学模式,实验结束后,采用理论考试、实践考核、问卷调查对教学实效性进行评价.结果 2组学生的理论考试成绩、实践考核成绩和学习效果各维度比较差异有统计学意义.结论 基于Kolb经验学习理论的“外科护理学”教学模式的开展能提高学生的学习兴趣和学习效果,利于教学改革的实施.%Objective To investigate the effect of the Kolb experience learning theory applied in Surgical Nursing teaching.Methods 120 students were selected randomly and were divided into 2 groups,the observation group operated the teaching mode based on the Kolb experience learning theory,the control group operated traditional teaching.After the experiment,using the theory test,the skill test,the questionnaire survey to evaluate the teaching effectiveness.Results The two groups showed statistical difference in theory exam results,learning effect of each dimension and evaluation of teaching effect.Conclusions The teaching mode based on the Kolb experience learning theory can improve the students' interest in learning and study effect,and push forward the reform of teaching implementatiou.

  6. 应用持续质量改进减少外科护士锐器伤的发生率%To reduce incidence of sharp instrument injury in surgical nurses by using continuous quality improvement

    Institute of Scientific and Technical Information of China (English)

    余儒; 黄爱微; 谢少华; 李艳艳; 赵秀芬; 陈丽芬


    OBJECTIVE To evaluate the effect of using continues quality improvement (CQI) to reduce the incidence of sharp instrument injury in surgical nurses. METHODS The PDCA (plan-do-check-act) cycle was used to execute the CQI. The precautions were stressed, the process of administration and prevention was paid attention to. The guide line was made and executed to reduce the incidence of sharp instrument injury. RESULTS After practicing the CQI for 1 year, the ratio of injury (by ampoule) decreased from 92.9% to 60.7%; the frequency of sharp instrument injury (except the injury by ampoule) decreased form 2.32 times per person to 1.46 times per person. CONCLUSION Applying the CQI and more prevention measures can reduce the incidence of sharp instrument injury, consequently decrease the incidence of occupational infection and blood transmitted diseases.%目的 通过持续质量改进的实施与效果评价,减少外科护士锐器伤的发生率.方法 应用PDCA循环进行持续质量改进,强调预防为主,注重过程管理,设定并执行减少外科护士锐器伤发生率的流程.结果 经过1年的实践,护士发生安瓿破裂致伤所占总人数比例由92.9%降至60.7%;护士发生锐器伤(除外安瓿裂伤)人均次数由2.3次降至1.5次.结论应用持续质量改进的方法,采取预防为主、注重过程管理,能减少护士锐器伤的发生率从而减少了职业感染的机会及降低血源性传播疾病的发生率.

  7. Literature Review on the Design of Composite Mechanically Fastened Joints (Revue de la Documentation sur la Conception des Joints a Liaison Mecanique en Composites), (United States)


    importantes, compl~tes et durables en termes de contribution aux connaissances actuelles. Rapports de ginie mecanique (MS): Informations scientifiques et...CONCEPTION * DES JOINTS A LIAISON MECANIQUE EN COMPOSITES Accr-! nnFor by/par I C. Poon p. National Aeronautical Establishment AERONAUTICAL NOTE/ OTTAWA NAE...mdthodes analytiques et expdrimentales de pointe, utilis~es dans l’industrie a~rospatiale pour la conception de joints a liaison m~canique en matdriaux

  8. Cholecystectomy: Surgical Removal of the Gallbladder (United States)

    ... including complete blood count ● ●Liver function tests ● ●Coagulation profile ● ●Abdominal ultrasound is the most common study for ... Death Open 0.8% Laparoscopic 0.1% Your surgical team will review for possible ... to nursing or rehabilitation facility Open 5.4% Laparoscopic 0. ...

  9. Medical-Surgical II. Teacher Edition. (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is designed to provide students with the knowledge they need to pursue a career in medical-surgical nursing. Fifteen units are provided. Each instructional unit includes some or all of the basic components of a unit of instruction: performance objectives, suggested activities for the teacher, information sheets, job sheets,…

  10. Medical-Surgical I. Teacher Edition. (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is designed to provide students with the knowledge they need to pursue a career in medical-surgical nursing. Eight units are provided. Each instructional unit includes some or all of the basic components of a unit of instruction: performance objectives, suggested activities for the teacher, information sheets, job sheets, written…

  11. Liaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.

    LENUS (Irish Health Repository)

    Costelloe, L


    BACKGROUND: Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised. AIMS\\/METHODS: We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care. RESULTS: Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days. CONCLUSIONS: Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.

  12. Consultation-liaison psychiatry in China%中国会诊联络精神医学现状

    Institute of Scientific and Technical Information of China (English)

    季建林; 叶尘宇


    Consultation-liaison psychiatry (CLP) was first established in China after liberation in 1949. It has developed more rapidly over the last two decades but, despite major regional differences in the level of CLP, the overall practice of CLP in the country remains quite basic, largely limited to case-based consultation with other medical departments. There is little ongoing collaboration between departments of psychiatry and other departments, and medical students and non-psychiatric clinicians rarely get training in CLP.

  13. Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department. (United States)

    Weston, Victoria; Jain, Sushil K; Gottlieb, Michael; Aldeen, Amer; Gravenor, Stephanie; Schmidt, Michael J; Malik, Sanjeev


    Emergency department (ED) crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP) have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs. This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre- and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI). Secondary outcomes were defined as differences in median ED length of stay (LOS), median door-to-provider (DTP) time, proportion of left without being seen (LWBS), and proportion of "very good" overall patient satisfaction scores. Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs) equated to a gain (ROI: 54%) for resident TLPs and a loss (ROI: -31%) for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317%) and for attending TLPs (ROI: 86%). Median DTP time for resident TLPs was significantly lower (pfinancial profile.

  14. [Liaison psychiatry at a neonatal intensive care unit. Interphase between psychiatry of the infant and neonatology]. (United States)

    Maldonado-Durán, J M; González-Cabello, H; Cárdenas-Zetina, J A; Sauceda-García, J M; Jasso-Gutiérrez, L


    A description is made of the situation of neonates and their families during hospitalization in the Neonatal Intensive Care Unit (NICU). Emphasis is made on the stressful situations faced by the infants, the families and the caregivers as well as on potential interventions to ameliorate their negative impact and to promote a favorable outcome. With the infants, the situation is one of overwhelming aversive stimulation, noncontingent responses and painful procedures, coupled with deprivation of normative experiences, propiciated by their illness and the structure of the unit. With the families, their feelings of impotence, guilt, and separation from their infant are highlighted, and interventions are described that may help them in this situation of crisis. With the staff the intervention consists on education and sensitization to the infant's needs. The liaison psychiatrist is the infant's voices with the families and the staff. The literature is reviewed in terms of the potential effects of favorable stimulation and of the negative experiences of neonates while at the NICU.

  15. A promiscuous liaison between IL-15 receptor and Axl receptor tyrosine kinase in cell death control. (United States)

    Budagian, Vadim; Bulanova, Elena; Orinska, Zane; Thon, Lutz; Mamat, Uwe; Bellosta, Paola; Basilico, Claudio; Adam, Dieter; Paus, Ralf; Bulfone-Paus, Silvia


    Discrimination between cytokine receptor and receptor tyrosine kinase (RTK) signaling pathways is a central paradigm in signal transduction research. Here, we report a 'promiscuous liaison' between both receptors that enables interleukin (IL)-15 to transactivate the signaling pathway of a tyrosine kinase. IL-15 protects murine L929 fibroblasts from tumor necrosis factor alpha (TNFalpha)-induced cell death, but fails to rescue them upon targeted depletion of the RTK, Axl; however, Axl-overexpressing fibroblasts are TNFalpha-resistant. IL-15Ralpha and Axl colocalize on the cell membrane and co-immunoprecipitate even in the absence of IL-15, whereby the extracellular part of Axl proved to be essential for Axl/IL-15Ralpha interaction. Most strikingly, IL-15 treatment mimics stimulation by the Axl ligand, Gas6, resulting in a rapid tyrosine phosphorylation of both Axl and IL-15Ralpha, and activation of the phosphatidylinositol 3-kinase/Akt pathway. This is also seen in mouse embryonic fibroblasts from wild-type but not Axl-/- or IL-15Ralpha-/- mice. Thus, IL-15-induced protection from TNFalpha-mediated cell death involves a hitherto unknown IL-15 receptor complex, consisting of IL-15Ralpha and Axl RTK, and requires their reciprocal activation initiated by ligand-induced IL-15Ralpha.

  16. [Supporting system for regional medical liaison and role of a central hospital]. (United States)

    Kitano, Seigo


    The current status and future development of the supporting system for regional medical liaison and a role of the central hospital in the network were outlined. One of such supportive systems for regional medical network would be tele-medicine or tele-mentoring that include radiological and pathological diagnoses in distance, tele-surgery, and tele-education. Most of these systems are facilitated in the universities and affiliated hospitals and generally need high-cost communication equipment. Another approach is the information sharing system through the modern telecommunication network. Electronic patient record (EPR) systems are the key to achieving this and currently active in several areas. Since the recent progress in information technology (IT) is astonishing, community-based EPR systems are practical with the capability of clinical information exchange between different institutions and even with patients. The role of a central hospital in these systems must be capacious. Management and continuous operation of the system would be the most important affairs. For extending these supporting systems to the ones working in a broader area, the establishment of a "one ID for one patient" system is crucial. Strict security management of the data base and legal institution for distant medical practice still remain as the future tasks.

  17. Long term GP opinions and involvement after a consultation-liaison intervention for mental health problems

    Directory of Open Access Journals (Sweden)

    Passerieux Christine


    Full Text Available Abstract Background Shared Mental Health care between Psychiatry and Primary care has been developed to improve the care of common mental health problems but has not hitherto been adequately evaluated. The present study evaluated a consultation-liaison intervention with two objectives: to explore long-term GP opinions (relating to impact on their management and on patient medical outcome and to determine the secondary referral rate, after a sufficient time lapse following the intervention to reflect a "real-world" primary care setting. Methods All the 139 collaborating GPs (response rate: 84.9% were invited two years after the intervention to complete a retrospective telephone survey for each patient (181 patients; response rate: 69.6%. Results 91.2% of GPs evaluated effects as positive for primary care management (mainly as support and 58.9% noted positive effects for patient medical outcome. Two years post-intervention, management was shared care for 79.7% of patients (the GP as the psychiatric care provider and care by a psychiatrist for 20.3% patients. Secondary referral occurred finally in 44.2% of cases. Conclusion The intervention supported GP partners in their management of patients with common mental health problems. Further studies are required on the appropriateness of the care provider.

  18. Cardiovascular Risk Factor Analysis in Patients with a Recent Clinical Fracture at the Fracture Liaison Service

    Directory of Open Access Journals (Sweden)

    Caroline E. Wyers


    Full Text Available Patients with a low bone mineral density have an increased risk of cardiovascular diseases (CVD and venous thromboembolic events (VTE. The aim of our retrospective chart review was to investigate the prevalence of CVD, VTE, hypertension (HT, and diabetes mellitus type 2 (DM2 in patients with a recent clinical fracture visiting the Fracture Liaison Service (FLS. Out of 3057 patients aged 50–90 years, 1359 consecutive patients, who agreed and were able to visit the FLS for fracture risk evaluation, were included (71.7% women; mean age 65.2 yrs. Based on medical history, 29.9% had a history of CVD (13.7%, VTE (1.7%, HT (14.9%, and DM2 (7.1% or a combination. Their prevalence increased with age (21% in patients aged 50–59 years to 48% in patients aged >80 years and was higher in men than in women (36% versus 27%, but independent of bone mineral density and fracture type. Careful evaluation of medical history with respect to these risk factors should be performed in patients with a recent clinical fracture before starting treatment with medications that increase the risk of VTE or cardiovascular events, such as raloxifene, strontium ranelate, or NSAIDs.

  19. A qualitative study on the experience and expectation of counting of junior nurses about inventory of surgical items in operating room%手术室低年资护士对手术物品清点工作体验与期望的质性研究

    Institute of Scientific and Technical Information of China (English)

    张晓霞; 陈莺; 王燕玲


    Objective:To explore the inner experience and expectation of the junior nurses in completing the inventory of surgical items at the operating room and to provide reference for the management personnel of the operating room to improve the program and psychological intervention measures. Methods:In -depth interviews were conducted to analyze the inner experience and expectation of 15 junior nurses in the operation when they counted the inventory of sur-gical items and analyzed it by phenomenological analysis. Results:Six subjects were identified,such as confusion about the completeness of all items and in-struments;anxiousness in the inventory of emergencies or complex procedures;confusion in the ways inventory were manipulated;expectation of support from experienced and responsible patrol nurses so that to gain a sense of security;expectation to receive role recognition in the surgical team;reconsidering of bad inventory behavior in the work. Conclusion:By improving and enriching the training contents and methods of the junior nurses in the operating room and optimizing the teaching staff and nurses,it can help the junior nurses to complete the counting of inventory of surgical items during the operation.%目的:探讨手术室低年资护士在完成手术物品清点工作方面的内心体验与期望,为手术室管理人员提供改进方案和心理干预措施提供参考。方法:采用深度访谈法了解15名手术室低年资护士在完成手术清点工作方面的内心体验与期望资料,以现象学分析法进行分析。结果:提炼出6个主题:对各类物品和器械完整性清点的困惑;对紧急情况或复杂手术的清点存在焦虑情绪;对物品清点中操作方法不一致的困惑;期望得到有经验、负责任的巡回护士的支持,获得安全感;期望在手术团队中得到角色认同;会反思工作环境中的不良清点行为。结论:通过对手术室低年资护士培训内容和方

  20. Interconsulta psicológica: demanda e assistência em hospital geral Interconsulta psicológica: demanda y asistencia en hospital general Consultation-liaison psychology: demand and assistance in general hospital

    Directory of Open Access Journals (Sweden)

    Nátali Castro Antunes Santos


    adaptación del paciente a la hospitalización (41%. El modelo adoptado referencia psicológica era apropiado en el contexto estudiado, con la participación del equipo multidisciplinario en la efectividad de la práctica.The consultation-liaison psychology in general hospitals represents a modality of clinical and a methodological tool used by psychologists in inpatient care, upon the request of other health professionals. The study aimed to characterize the psychological demands of the liaison in a general hospital, from the analysis of attendance records request. One hundred and seven patients were treated between January and June 2010, in which 53% of the participants were male and 57% of adults over 45 years. Most requests were performed by physicians (44% and nurses (38%, formally (59%, and previous contact between interconsultor and the applicant (85%. The main reasons given for the request liaison were: psychological symptoms related to illness (43% and identification of impairment in the patient's adaptation to hospitalization (41%. The psychological liaison model adopted was appropriate to the studied context, with engagement of the multidisciplinary team in the effectiveness of practice.




    We used autoregressive latent trajectory (ALT) modeling to examine the relationship between change in nurse staffing and change in medication errors over 6 months in 284 general medical-surgical nursing units. We also investigated the impact of select hospital and nursing unit characteristics on the baseline level and rate of change in medication errors. We found essentially no support for a nurse staffing – medication error relationship either cross-sectionally or longitudinally. Few hospita...

  2. The nurse teacher's clinical role now and in the future. (United States)

    Ioannides, A P


    The role of the nurse teacher in relation to the clinical setting has been debated for 20 years, yet it has been the subject of relatively few large studies. Recent studies led to inconclusive results, hence the nurse lecturer's clinical role remains an area of long-standing dispute. Changes in nurse education United Kingdom Central Council (UKCC) and the amalgamation of nurse education into higher education as part of the Strategy for Nursing, as well as the expansion of supernumerary status for student nurses, gave impetus to the search for a new clinical role for nurse lecturers. Research suggests that nurse teachers wish to maintain clinical contact, but the nature of this contact is vigorously debated at present. Lee, in reviewing the literature, concluded that this topic is highly contentious in terms of its nature, extent and purpose. She goes as far as to suggest that there is a need for empirical research to address the question as to whether there is a role for nurse lecturers in the clinical area. This paper examines some of the factors which influence the development of the clinical aspect of the role of nurse lecturers, explains how the author performed this role and the perceived benefits to students, mentors and the lecturer. It proposes a clinical role model based on the literature and the author's own personal experience as a 'clinical liaison lecturer' since the integration of nursing education into higher education. Key points The clinical role of the nurse teacher remains an area of long standing dispute Nurse lecturers wish to maintain clinical contact and maintain clinical competence, but in reality no consensus exists as to its meaning The mentor's role can be complemented by a clinically competent nurse lecturer who arguably should be able to teach in the classroom and the practice settings Using a triangular approach to reviewing student's experience, lecturers can update their clinical knowledge, demonstrate credibility, promote education

  3. Infection Control Link Nurse Program: An interdisciplinary approach n targeting health care-acquired infection (United States)

    Sopirala, Madhuri M.; Yahle-Dunbar, Lisa; Smyer, Justin; Wellington, Linda; Dickman, Jeanne; Zikri, Nancy; Martin, Jennifer; Kulich, Pat; Taylor, David; Mekhjian, Hagop; Nash, Mary; Mansfield, Jerry; Pancholi, Preeti; Howard, Mary; Chase, Linda; Brown, Susan; Kipp, Kristopher; Lefeld, Kristen; Myers, Amber; Pan, Xueliang; Mangino, Julie E.


    Background We describe a successful interdisciplinary liaison program that effectively reduced health care-acquired (HCA), methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital setting. Methods Baseline was from January 2006 to March 2008, and intervention period was April 2008 to September 2009. Staff nurses were trained to be liaisons (link nurses) to infection prevention (IP) personnel with clearly defined goals assigned and with ongoing monthly education. HCA-MRSA incidence per 1,000 patient-days (PD) was compared between baseline and intervention period along with total and non-HCA-MRSA, HCA and non-HCA-MRSA bacteremia, and hand soap/sanitizer usage. Hand hygiene compliance was assessed. Results A reduction in MRSA rates was as follows in intervention period compared with baseline: HCA-MRSA decreased by 28% from 0.92 to 0.67 cases per 1,000 PD (incidence rate ratio, 0.72; 95% confidence interval: 0.62–0.83, P Hand soap/sanitizer usage and compliance with hand hygiene also increased significantly during IP. Conclusion Link nurse program effectively reduced HCA-MRSA. Goal-defined metrics with ongoing reeducation for the nurses by IP personnel helped drive these results. PMID:24548456

  4. 手术室护理管理对手术患者医院感染的干预意义研究%Study on the Significance of Nursing Management in Operation Room to the Hospital Infection of Surgical Patients

    Institute of Scientific and Technical Information of China (English)



    Objective To investigate the significance of nursing management in the operation room for hospital infection.MethodsSelected from May 2014 to February 2016,75 cases of surgical patients admitted to our hospital were randomly divided into group A,group was given routine operation room management,B group line of comprehensive nursing management. Comparison of intervention results of two groups.Results Patients in group B were significantly higher than group A in nursing management,disinfection and isolation, standard hand washing,sterile operation quality was significantly better than that of A group,the incidence of hospital infection was significantly lower than that of A group,P<0.05.Conclusion The effect of operation room nursing management on hospital infection in patients with surgery.%目的:探讨手术室护理管理对手术患者医院感染的干预意义。方法选取2014年5月~2016年2月我院所收治的75例手术患者随机分组,A组给予手术室常规管理;B组行手术室全面护理管理。比较干预结果。结果 B组患者护理管理满意度比A组高,消毒隔离、规范洗手、无菌操作质量显著比A组好,医院感染发生率显著比A组低,P<0.05。结论手术室护理管理对手术患者医院感染的干预效果确切。

  5. [Chronic diseases and complexity: new roles in nursing. Advanced practice nurses and chronic patient]. (United States)

    Sánchez-Martín, C Inmaculada


    The increase in chronic diseases and the progressive ageing of the population is a source of concern for the different agencies with responsibility for health care. This has led to the creation of many documents focused on the analysis of the current situation and care of chronic diseases, including the WHO recommendations intended to assist countries and health services design and implement strategies that will address the existing demand, control and prevention of chronic diseases. In addition, there is a need to respond to the demand generated by chronic diseases in every sense, and from the different systems it is becoming more difficult to get enough support from multidisciplinary teams where the nurse has a central importance. While chronic diseases are becoming a threat due to the costs they generate, it is also an opportunity for nursing to be at the forefront for advanced care requirements, performed by professionals with recognized advanced clinical skills and ability for case management while monitoring and controlling complex chronic patients. The different services of the National Health System have introduced nurses that play different roles (cases managers, liaison nurses, advanced practice nurses and so on). However, it could be argued that they are not being trained to a desirable development level. It is therefore time for health care authorities to determine the role of the advanced practice nurse in relation to functional positions, and allow them to make an advance in the development of unified skills for the whole National Health System. From our experience we have learned that the advanced practice nurse is a resource that helps in the sustainability of services, thanks to the efficiency shown in the results obtained from the care given to both chronic and complex chronic patients.

  6. Academic medicine change management: the power of the liaison committee on medical education accreditation process. (United States)

    Chandran, Latha; Fleit, Howard B; Shroyer, A Laurie


    Stony Brook University School of Medicine (SBU SOM) used a Liaison Committee on Medical Education (LCME) site visit to design a change management approach that engaged students, revitalized faculty, and enabled significant, positive institutional transformation while flexibly responding to concurrent leadership transitions. This "from-the-trenches" description of novel LCME site-visit-related processes may provide an educational program quality improvement template for other U.S. medical schools. The SBU SOM site visit processes were proactively organized within five phases: (1) planning (4 months), (2) data gathering (12 months), (3) documentation (6 months), (4) visit readiness (2 months), and (5) visit follow-up (16 months). The authors explain the key activities associated with each phase.The SBU SOM internal leadership team designed new LCME-driven educational performance reports to identify challenging aspects of the educational program (e.g., timeliness of grades submitted, midcourse feedback completeness, clerkship grading variability across affiliate sites, learning environment or student mistreatment incidents). This LCME process increased institutional awareness, identified the school's LCME vulnerabilities, organized corrective actions, engaged key stakeholders in communication, ensured leadership buy-in, and monitored successes. The authors' strategies for success included establishing a strong internal LCME leadership team, proactively setting deadlines for all phases of the LCME process, assessing and communicating vulnerabilities and action plans, building multidisciplinary working groups, leveraging information technology, educating key stakeholders through meetings, retreats, and consultants, and conducting a mock site visit. The urgency associated with an impending high-stakes LCME site visit can facilitate positive, local, educational program quality improvement.

  7. Nursing Reclaims its Role. (United States)

    Diers, Donna


    An attempt is made to explain the nurses' role: what the nurse is, what the nurse does, how the nurse is viewed by society, why nurses suffer burnout, nursing costs, and health care system reform. (CT)

  8. 基层医院外科护士人文素质核心能力状况调查及对策%The situation of the core competence of humanistic quality of the surgical nurses in primary hospitals and the countermeasures

    Institute of Scientific and Technical Information of China (English)

    陈月卿; 饶和平; 邵亚莉; 余静


    Objective To investigate the core competence of humanistic quality of the surgical nurses in primary hospitals ,therefore to detect problems and find corresponding solutions .Methods Based on the scale of core competence of registered nurses of China , we adopted the method of stratified cluster sampling , and choose one grade-three comprehensive hospital , two grade-two comprehensive hospitals and conducted the survey among 189 surgical nurses .The competence difference was compared between nurses of different professional titles and hospitals , and the correlation analysis was made .Results Among the 189 nurses surveyed , the average scores of the critical thinking and scientific research , ethics and legal practice , interpersonal relationship, and education and consultation were (21.32 ±2.54),(20.49 ±1.56),(20.75 ±1.67), (17.81 ±2.20)respectively, with the scoring rates of 53.3%,64.0%,64.8%, and 63.6%respectively.The scores of the senior nurses were higher than those of the junior and intermediate nurses with statistical significance (F=78.814,P<0.01).In terms of interpersonal relationship and ethics and legal practice the scores in grade-three hospitals were higher than those in the grade-two hospitals with statistical significance ( t=2.603,2.249,respectively;P<0.01).The four items of core competence of humanistic quality in the surgical nurses of primary hospitals were positively correlated ( P <0.01 ).Conclusions The core competence of humanity quality of the surgical nurses was comparatively low , with the phenomenon more obvious in junior and intermediate nurses .The cooperation between hospitals and colleges and universities should be promoted so as to strengthen the education on the core competence of humanistic quality in the students .Meanwhile long-term training programs should be implemented by hospitals to give stratified education on the core competence of humanistic quality .%目的:调查衢州市基层医院外科护士人文素质核心

  9. Mental Capacity Assessments Among Inpatients Referred to the Consultation-Liaison Psychiatry Unit at a University Hospital in Bangkok, Thailand. (United States)

    Pariwatcharakul, Pornjira; Singhakant, Supachoke


    Clinicians routinely assess patients' mental capacity on a daily basis, but a more thorough assessment may be needed in complex cases. We aimed to identify the characteristics of inpatients in a general hospital, who were referred to a liaison psychiatry service for mental capacity assessment, reasons for the referrals, and the factors associated with their mental capacity. A 6-year retrospective study (2008-2013) was conducted using data collected routinely (e.g., age, gender, diagnosis, Thai Mental State Examination score, reasons for the referral, and the outcome of capacity assessment) on referrals for mental capacity assessment to a Consultation-liaison Psychiatry Unit at a university hospital in Thailand. Among 6194 consecutive referrals to the liaison-psychiatry services, only 0.6 % [n = 37, mean age (SD), 59.83 (20.42)] were referred for capacity assessment, 43.24 % of which lacked mental capacity. The most common requests from referring physicians were for assessment of testamentary capacity (15 assessed, 53.33 % lacking capacity), financial management capacity (14 assessed, 50 % lacking capacity), and capacity to consent to treatment (9 assessed, 22.22 % lacking capacity). Delirium, rather than dementia or other mental disorders, was associated with mental incapacity (p < 0.001) and being more dependent during the admission (p = 0.048). There were no significant differences for mean age (p = 0.257) or Thai Mental State Examination score (p = 0.206). The main request from referring clinicians was to assess testamentary capacity. Delirium and being more dependent during the admission were associated with lack of mental capacity, whereas age and dementia were not.

  10. Robotic nurse duties in the urology operative room: 11 years of experience

    Directory of Open Access Journals (Sweden)

    Ali Abdel Raheem


    Full Text Available The robotic nurse plays an essential role in a successful robotic surgery. As part of the robotic surgical team, the robotic nurse must demonstrate a high level of professional knowledge, and be an expert in robotic technology and dealing with robotic malfunctions. Each one of the robotic nursing team “nurse coordinator, scrub-nurse and circulating-nurse” has a certain job description to ensure maximum patient's safety and robotic surgical efficiency. Well-structured training programs should be offered to the robotic nurse to be well prepared, feel confident, and maintain high-quality of care.

  11. O estilo de liderança exercido pelo enfermeiro de unidade de internação cirúrgica sob o enfoque da liderança situacional El estilo de liderazgo adoptado por el enfermero de unidad quirúrgica, bajo el enfoque del liderazgo situacional The leadership style adopted by nurses in surgical ward unities focussing the situational leadership

    Directory of Open Access Journals (Sweden)

    Cristina Maria Galvão


    Full Text Available A presente investigação orientou-se para a temática liderança enfocando o enfermeiro de unidade de internação cirúrgica. Como referencial teórico utilizamos o modelo de liderança proposto por Hersey e Blanchard, denominado Liderança Situacional. O objetivo deste estudo consistiu em analisar a correspondência de opinião entre o enfermeiro e o pessoal auxiliar de enfermagem sobre o estilo de liderança exercido pelo enfermeiro de unidade de internação cirúrgica em relação às seis categorias de atividades assistenciais estudadas. Constatamos que os enfermeiros, nos dois hospitais investigados, adotaram prioritariamente, com o pessoal auxiliar estilos de liderança mais diretivos, ou seja, E2 (persuadir ou E1 (determinar.La presente investigación se orientó para la temática del liderazgo enfocando el enfermero de unidad quirúrgica. Como referencial teórico utilizamos el modelo de liderazgo propuesto por Hersey y Blanchard, denominado Liderazgo Situacional. El objetivo de éste estudio fue analizar la correspondencia de opinión entre el enfermero y el personeal auxiliar de enfermería sobre el estilo de liderazgo adoptado por el enfermero de la unidad de hospitalización quirúrgica en relación a las seis categorías de actividades asistenciales estudiadas. Constatamos que los enfermeros, en los dos hospitales estudiados, adoptan con el personal auxiliar los estilos de liderazgo más directivo, o sea, E2(persuadir o E1(determinar.The present study was oriented to the leadership theme focussing nurses inside surgical ward unities. As a theoretical reference, the authors used the Situational Leadership Model proposed by Hersey and Blanchard. This study aimed at analysing the correspondence between the opinions of nurses and auxiliary personnel about the leadership style exerted by nurses in the surgical ward unit regarding the six categories of the assistance activity that were studied. Authors noticed that nurses, from the two

  12. Nursing diagnosis


    Ščavničar, Ema


    Nursing diagnosis is an integral part of nursing process approach. There are many definitions, which have one common theme: it's a stth status of a client.A nursing diagnostic statement has two or three parts. The article includes section on making of nursing diagnosis and a section on classification. Negovalna diagnoza je sestavni del v procesnem pristopu zdravstvene nege. Predstavljene so definicije, katere temeljijo na varovančevem stanju zdravja. Negovalna diagnoza ima dva ali tri dele...

  13. Psychological complications of childhood chronic physical illness in Nigerian children and their mothers: the implication for developing pediatric liaison services

    Directory of Open Access Journals (Sweden)

    Meremikwu Martin M


    Full Text Available Abstract Background Pediatric liaison services attending to the psychological health needs of children with chronic physical illness are limited or virtually non-existent in Nigeria and most sub-Saharan African countries, and psychological problems complicate chronic physical illness in these children and their mothers. There exist needs to bring into focus the public health importance of developing liaison services to meet the psychological health needs of children who suffer from chronic physical illness in this environment. Sickle cell disease (SCD and juvenile diabetes mellitus (JDM are among the most common chronic physical health conditions in Nigerian children. This study compared the prevalence and pattern of emotional disorders and suicidal behavior among Nigerian children with SCD, JDM and a group of healthy children. Psychological distress in the mothers of these children that suffer chronic physical illness was also compared with psychological distress in mothers of healthy control children. Methods Forty-five children aged 9 to 17 years were selected for each group of SCD, JDM and controls. The SCD and JDM groups were selected by consecutive clinic attendance and the healthy children who met the inclusion criteria were selected from neighboring schools. The Youth version of the Computerized Diagnostic Interview Schedule for Children, version IV (C- DISC- IV was used to assess for diagnosis of emotional disorders in these children. Twelve-item General Health Questionnaire (GHQ – 12 was used to assess for psychological distress in mothers of these children and healthy control children. Results Children with JDM were significantly more likely to experience DSM – IV emotional disorders than children with SCD and the healthy group (p = 0.005, while children with JDM and SCD were more likely to have 'intermediate diagnoses' of emotional disorders (p = 0.0024. Children with SCD and JDM had higher rates of suicidal ideation when

  14. Nursing care for patients undergoing transoral robotic surgery. (United States)

    Murray, Shannon


    Otorhinolaryngologists began developing new operative techniques to minimize open surgical resections of the head and neck. While striving to reduce the morbidity and mortality associated with head and neck surgery and decrease the many psychosocial issues facing these patients, a new procedure defined as Transoral Robotic Surgery (TORS) was developed. With the development of new surgical techniques, nursing care must also change to meet the needs of the patient. As the TORS procedure becomes fully defined, so is nursing's role in the care of the patient. This paper aims to define TORS and discuss the nursing care of the patient undergoing this new surgical procedure.

  15. Nursing Homes (United States)

    ... newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed dramatically over the past several ... how accessible are they? How close is the nursing home to family members? How close ... much do basic services cost? What services are covered? What additional ...

  16. Nursing: What's a Nurse Practitioner? (United States)

    ... is a big part of the pediatric NP's role. Pediatric and family practice NPs can treat acute ( ... Nurse Practitioners (NAPNAP) and through local hospitals or nursing schools. Also, many doctors share office space with ...

  17. [Psychiatry and psychology integrated in somatics is a profit for the clinic. Consultation liaison psychiatry important for the future of healthcare]. (United States)

    Wahlström, Lars; Blomdahl-Wetterholm, Margareta


    The mental health needs of patients receiving physical health care often remain undiagnosed and untreated, resulting in significant costs to the health care system. However, some countries have recently seen fast progress with the development of consultation liaison psychiatry. In Sweden, this service has developed quite slowly, but a breakthrough may be imminent. There is evidence that providing better support for co-morbid health problems may improve the psychological quality of care and reduce physical health care costs in acute hospitals. Consultation liaison psychiatry fits well with the current trends of value-based health care, personalized care, and an emphasis on networking in care.

  18. Study on the self-efficacy, job satisfaction and job burnout of young nurses in surgical wards%外科病房年轻护士自我效能感工作满意度及工作倦怠感研究

    Institute of Scientific and Technical Information of China (English)

    袁翠; 王兰


    Purpose The paper aims to discuss the current situation of the self-efficacy, job satisfaction, and job burnout of post-1980s young nurses in surgical wards, as well as the correlation between the three. Method Cluster sampling is adopted to select 167 nurses born in the 1980s from the surgical wards of a class-3 general hospital of Beijing, and the general questionnaires of self-efficacy, job satisfaction, and job burnout are employed for survey, with results used for statistical analysis. Result Among these "post-1980s" surgical nurses, the average scores of self-efficacy and job satisfaction are 2.31±0.51 and 2.95±0.66, respectively; the average scores of three dimensions for the job burnout are 24.92±11.86 (emotional exhaustion), 6.66 ±5.79 (job indifference), and 27.05 ±10.75 (personal accomplishment), respectively. Conclusion The self-efficacy of "post-1980s" surgical nurses is at an intermediate level; their job satisfaction is low, but job burnout is relatively high, which is a concern. The managerial personnel should pay more attention to this group and take measures for improving their self-efficacy and job satisfaction and reducing their job burnout.%目的:探讨“80后”外科病房护士自我效能感、工作满意度、工作倦怠感现状及三者之间的相关性。方法采用整群抽样的方法选取北京市三级综合医院167名出生于20世纪80年代的外科病房护士,采用一般自我效能感量表、工作满意度量表及工作倦怠感量表进行问卷调查,并对所得数据进行统计分析。结果“80后”外科护士的自我效能感平均得分为2.31±0.51;工作满意度平均得分为2.95±0.66;工作倦怠感3个维度的平均得分分别为:情绪倦怠感(24.92±11.86)分,工作冷漠感(6.66±5.79)分,个人成就感(27.05±10.75)分。结论“80后”外科护士的自我效能感处于中等水平,工作满意度不高,工作倦怠感处在较高水平,令人

  19. Nursing: What's a Nurse Practitioner? (United States)

    ... such as family practice or pediatrics. Pediatric and family practice NPs can provide regular health care for kids. Nurse practitioners (also referred to as advanced practice nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their ...

  20. Nutrition for Nurses: Nursing 245. (United States)

    Palermo, Karen R.

    A description is presented of "Nutrition for Nurses," a prerequisite course for students anticipating entrance into the junior level of a state university registered nursing program. Introductory material highlights the course focus (i.e., the basics of good nutrition; nutrition through the life cycle; nursing process in nutritional care; and…

  1. Clinical profile, nursing diagnoses and nursing care for postoperative bariatric surgery patients. (United States)

    Steyer, Nathalia Helene; Oliveira, Magáli Costa; Gouvêa, Mara Regina Ferreira; Echer, Isabel Cristina; Lucena, Amália de Fátima


    Objective To analyze the clinical profile, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-five nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion The nursing diagnoses supported the nursing care prescription, which enables the qualification of nursing assistance.

  2. [Important role of a nurse parctitioner-like specialized registered nurse in a cardiac surgery team]. (United States)

    Izutani, Hironori


    Team medical practice by physician, nurse, and other co-medical staffs has been performed and it provides numerous values to the patients. Japanese Ministry of Health, Labor and Welfare reported that a registered nurse was a key person of medicine. The importance of nurse's role expansion and involving medical cure by a registered nurse was emphasized in the report. Japanese nurse practitioner for a new profession is going to start in near future. In our institute, a specialized registered nurse has joined a cardiac surgery team. She plays an important role of assisting and consulting cardiac physicians for patient cure and care as a member of the surgery team. Cardiac surgery team including specialized registered nurse gives quality surgical results and patient satisfaction.

  3. Project Alpha. A nursing elective implemented in a general systems theory curriculum. (United States)

    Beitz, J M


    From the perspectives of both nursing education and nursing practice, the perioperative elective was beneficial and timely. The students received knowledge and skills pertinent to their present educational endeavors and future technologic trends. In turn, the affiliating agency has a pool of potential employees who truly understand the needs of surgical patients and who may choose to become operating room nurses. Perioperative nursing does belong in the baccalaureate curriculum and is an assurance of nursing's commitment to holistic care.

  4. Accelerated rehabilitation nursing of perioperative surgical treatment of breast cancer%加速康复外科治疗乳腺癌围术期护理配合

    Institute of Scientific and Technical Information of China (English)



    Objective To observe the effect of accelerated rehabilitation surgery idea in the nursing effect of breastcancer during operation period. Methods In our hospital in 91 cases of breast cancer patients with operation in 2012February~2014 year in July admitted to the nursing as the object of study, and randomly divided into experimentalgroup 46 cases and control group 45 cases of patients in the experimental group, using the concept of fast track surgery nursing, the control group of patients with routine nursing, observation and nursing satisfaction and two groups of patients with the occurrence of complications. Results The total satisfaction of patients in the experimental group care rate was 93.4%, control total satisfaction rate of 82.2%groups of patient care, nursing satisfaction of the experimental group were higher than the patients in the control group (P<0.05), and complications from view, the emergence of the patients in the experimental group was less than that in control group of patients with complications.Conclusion The application of fast track surgery concept has a very good application effect in nursing care of patients with breast cancer, nursing satisfaction is high, the emergence of less complications, and can be popularized andapplied in nursing.%目的:观察加速康复外科观念在乳腺癌围手术期的护理效果。方法选取我院在2012年2月~2014年7月收治的乳腺癌手术患者91例作为本次研究的护理对象,并且随意分为实验组46例和对照组患者45例,对实验组采用加速康复外科理念进行护理,对照组患者采用常规护理,观察两组患者的护理满意度和并发症情况。结果实验组患者护理的总满意率为93.4%,对照组患者护理的总满意率为82.2%,实验组患者的护理满意度高于对照组患者(P<0.05),并且从并发症上看,实验组患者出现的并发症也少于对照组患者。结论采用加速康复外科观念应用在乳

  5. A proposal of basic guidelines for training in psychosomatic and liaison psychiatry in Spanish psychiatry training programs

    Directory of Open Access Journals (Sweden)

    Ignacio Gómez-Reino


    Full Text Available Background and Objectives: The Psychosomatic and Liaison Psychiatry is an emerging psychiatric subspecialty. This article is intended to summarize the philosophy supporting training programmes in Spain, and the recommended training guidelines. Methods: Review of the literature and teaching experience. Results: The increasing complexity of diagnosis and treatment, and the demand by patients and providers of resources for higher and more efficient quality of care, make skills training a key tool for achieving these goals. The human being is biology, feelings, thoughts, experiences and thus individuality when sick. Understanding all this is the core on which to base our competencies in this exciting crossroads between psychiatry and other medical specialties. We propose a set of competencies to achieve, and point learning spaces and evaluation mechanisms. Conclusions: Based on accumulated experiences in Spain, and the review of European and international literature, it is possible to summarize a realistic set of norms and directions for training in Psychosomatic and Liaison Psychiatry in residency programmes.

  6. Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center

    Directory of Open Access Journals (Sweden)

    Santosh Ramdurg


    Full Text Available Background: The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services. Settings and Design: A prospective study of 6-month duration was done in a tertiary care center in India. Materials and Methods: During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD-10. Results: The male-to-female ratio was similar. Adult age, urban background, employed, matriculation educated were more represented in this study. More than 80% of all attempters had psychiatric disorder. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive. Conclusions: Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.

  7. Nursing workload at a gastroenterology unit. (United States)

    Panunto, Marcia Raquel; Guirardello, Edinêis de Brito


    One of the biggest challenges nurses face is the need to justify the quantity and quality of staff for care delivery. For this, management instruments are available which help them to determine the staff needed in the nursing team. This descriptive study aims to evaluate the nursing workload at a specialized clinical and surgical gastroenterology unit. To collect data, the Nursing Activities Score (NAS) was used during 30 consecutive days, with 1080 comments, obtained from the records of 149 patients. The mean NAS score was 34.9% and, considering that each point of NAS corresponds to 0.24 hour, on the average, 8.4 hours of nursing care were required within 24 hours. This means that this profile is of patients who demand intermediate and semi-intensive care, which suggests that the NAS study can be used to evaluate the workload of nurses at that unit.

  8. The documentation practice of perioperative nurses

    DEFF Research Database (Denmark)

    Søndergaard, Susanne Friis; Lorentzen, Vibeke; Sørensen, Erik Elgaard;


    AIMS AND OBJECTIVE: The aim of this review was to explore and present the existing knowledge of the documentation practices of perioperative nurses in the operating room. BACKGROUND: Studies demonstrate that the documentation of nursing care provided is important for the continuity of patient care...... as well as patient safety. Nurses find that documenting their perioperative services is important to the surgical pathway; however, a number of studies indicate that the documentation practices of perioperative nurses are characterised by subjectivity, randomness and poor quality. DESIGN: A literature....... RESULTS: Three general themes were found to be important for perioperative nurses' documentation practices. 1) The documentation tool must be adapted to the clinical practice. 2) Nurses document to improve patient safety and protect themselves legally. 3) Traditions and conditions for documentation...

  9. Aspects of computer vision in surgical endoscopy (United States)

    Rodin, Vincent; Ayache, Alain; Berreni, N.


    This work is related to a project of medical robotics applied to surgical endoscopy, led in collaboration with Doctor Berreni from the Saint Roch nursing-home in Perpignan, France). After taking what Doctor Berreni advises, two aspects of endoscopic color image processing have been brought out: (1) The help to the diagnosis by the automatic detection of the sick areas after a learning phase. (2) The 3D reconstruction of the analyzed cavity by using a zoom.

  10. Micro-surgical endodontics. (United States)

    Eliyas, S; Vere, J; Ali, Z; Harris, I


    Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis, appropriate case selection, the quality of the surgical skills, and the application of the most appropriate haemostatic agents and biomaterials. This article describes the armamentarium and technical procedures involved in performing micro-surgical endodontics to a high standard.

  11. Surgical innovation as sui generis surgical research. (United States)

    Lotz, Mianna


    Successful innovative 'leaps' in surgical technique have the potential to contribute exponentially to surgical advancement, and thereby to improved health outcomes for patients. Such innovative leaps often occur relatively spontaneously, without substantial forethought, planning, or preparation. This feature of surgical innovation raises special challenges for ensuring sufficient evaluation and regulatory oversight of new interventions that have not been the subject of controlled investigatory exploration and review. It is this feature in particular that makes early-stage surgical innovation especially resistant to classification as 'research', with all of the attendant methodological and ethical obligations--of planning, regulation, monitoring, reporting, and publication--associated with such a classification. This paper proposes conceptual and ethical grounds for a restricted definition according to which innovation in surgical technique is classified as a form of sui generis surgical 'research', where the explicit goal of adopting such a definition is to bring about needed improvements in knowledge transfer and thereby benefit current and future patients.

  12. The perfectly motivated nurse and the others: workplace and personal characteristics impact preference of nursing tasks. (United States)

    Koch, Sven H; Proynova, Rumyana; Paech, Barbara; Wetter, Thomas


    To identify whether motivation of nurses coincides with personal values, workplace or personal characteristics. Shortage of nursing workforce compromises patient care. Motivation and job satisfaction are factors considered to make nurses quit. Little is known about measurement and variation of nurses' motivation. Funding for human resource programmes is limited - effective programmes could focus on nurses in need of motivational support. Exploratory study with nurses using questionnaires in an academic hospital in Germany. Work motivation was approximated through preference of nursing tasks. Questionnaires measured personal values, preference of generic nursing tasks, and workplace and personal characteristics. A total of 212 questionnaires were usable. Higher motivation was found in groups of nurses with the dominant personal value 'Benevolence', with high self-rated expertise, in the middle of their career or working in surgical or general wards. Motivation was low in nurses with the dominant value 'Hedonism', or nurses in internal medicine or with low to medium self-rated expertise or who used computers infrequently. Motivation coincided with dominant personal values, workplace and personal characteristics. The results should be validated in other settings. Human resource programmes could focus on nurses whose motivation is at risk. Prospectively highly motivated individuals should be hired with priority. © 2013 John Wiley & Sons Ltd.

  13. [Surgical scrub: evaluation of its adequacy in preventing biological risks in surgery: I. Its use in surgery]. (United States)

    Paz, M S; Lacerda, R A; Monteiro, C E; da Conceição, V P


    The study elaborated approaches for adequate use of the surgical scrub and it evaluated, through systematized observation, the performance of the surgical team during the surgery. The adopted procedure was very valid, allowing to recognize positive and problematic aspects. Except the protecting glasses, all the other components of the surgical scrub were used. The subject located in the use form, where caps and masks were more problematic among anaesthesists and circulate nurses; apron and gloves among surgeons and, mainly, scrub nurses.

  14. Library School Curricula in the US Should Address Liaison Responsibilities for Students Interested in Academic Librarianship, A Review of: Attebury, R. I., & Finnell, J. (2009. What do LIS students in the United States know about liaison duties? New Library World, 110(7, 325‐340.

    Directory of Open Access Journals (Sweden)

    Nazi Torabi


    Full Text Available Objectives – The two main objectives of this study were to determine the level of prevalence of liaison work in academic library job advertisements and to investigate whether the current library & information science (LIS students are aware of liaison duties.Design – The mixed methods used in this study are job postings analysis and online survey.Setting – The research settings were the following:(1Online academic job advertisements published between November 15, 2007 and January 15, 2008 and collected from Chronicle of Higher Education’s Web site and;(2Fifty‐three electronic mail lists of ALA‐accredited library schools in the US.Subjects – The subjects of the study were 313 online academic job advertisements and 516 LIS students.Methods – The sample size and methodology for the first part of this study were based on four previously published studies. Duplicated job postings were removed and the remaining were organized into 15 categories of access/public services, reference, instruction, bibliographer/subject specialist, combination (instruction and reference, archives/special collections, special libraries, director/dean, department head or coordinator, interlibrary loan (ILL, systems/web development, cataloguing, outreach, and acquisitions/collection‐development. Only those job ads containing the term “liaison” were included in the analysis.For the second part of the study, the authors conducted an online survey. They attempted to investigate the knowledge of LIS students on liaison librarianship, to measure the level of exposure to liaison responsibilities in their course work, and to gauge the confidence of the individual in their ability to become successful liaison librarians. The survey was distributed among 53 LIS school electronic mail lists, resulting in 516 respondents.Main Results – The job ad analysis revealed that 29% of job postings were directly related to liaison duties. The liaison component

  15. Nursing the Nursing Shortage Back to Health. (United States)

    Weisbord, Anne


    Discusses shortage of nurses, improved compensation, and other benefits for nurses. Discusses effects of institutional reputation. Describes move to retention programs by nurse recruiters. Concludes image of nursing has developed into professional status. (ABL)

  16. Nursing the Nursing Shortage Back to Health. (United States)

    Weisbord, Anne


    Discusses shortage of nurses, improved compensation, and other benefits for nurses. Discusses effects of institutional reputation. Describes move to retention programs by nurse recruiters. Concludes image of nursing has developed into professional status. (ABL)

  17. Surgical safety checklists briefings: Perceived efficacy and team member involvement. (United States)

    McDowell, D S; McComb, S


    Researchers have shown inconsistencies in compliance, outcomes and attitudes of surgical team members related to surgical safety checklist briefings. The purpose of this study was to examine surgical circulator and scrub practitioners' perceptions of safety checklist briefings and team member involvement, and to identify potential improvements in the process based on those perceptions. An anonymous survey was conducted with members of the Association of periOperative Registered Nurses (AORN) and the Association of Surgical Technologists (AST). Questions focused on perceptions of checklist briefing efficacy and team member involvement in safety practices. From the 346 usable responses, a third respondent group of self-identified perioperative leaders emerged. Significant results were obtained related to leaders' perceptions, post-procedure briefings and various perceptions of team member involvement. Study results indicate that variances in safety practices continue as perceived by surgical team members thus presenting opportunities for further examination and improvement of processes in reducing surgical errors.

  18. Nurse managers' perceptions and experiences regarding staff nurse empowerment: a qualitative study. (United States)

    Van Bogaert, Peter; Peremans, Lieve; de Wit, Marlinde; Van Heusden, Danny; Franck, Erik; Timmermans, Olaf; Havens, Donna S


    To study nurse managers' perceptions and experiences of staff nurse structural empowerment and its impact on the nurse manager leadership role and style. Nurse managers' leadership roles may be viewed as challenging given the complex needs of patients and staff nurses' involvement in both clinical and organizational decision-making processes in interdisciplinary care settings. Qualitative phenomenological study. Individual semi-structured interviews were conducted with 8 medical or surgical nurse managers in a 600-bed Belgian university hospital between December 2013 and June 2014. This hospital was undergoing conversion from a classical hierarchical, departmental structure to a flat, interdisciplinary model. Nurse managers were found to be familiar with the structural empowerment of clinical nurses in the hospital and to hold positive attitudes toward it. They confirmed the positive impact of empowerment on their staff nurses, as evidenced by increased responsibility, autonomy, critical reflection and enhanced communication skills that in turn improved the quality and safety of patient care. Structural empowerment was being supported by several change initiatives at both the unit and hospital levels. Nurse managers' experiences with these initiatives were mixed, however, because of the changing demands with regard to their manager role and leadership style. In addition, pressure was being experienced by both staff nurses and nurse managers as a result of direct patient care priorities, tightly scheduled projects and miscommunication. Nurse managers reported that structural empowerment was having a favorable impact on staff nurses' professional attitudes and the safety and quality of care in their units. However, they also reported that the empowerment process had led to changes in the managers' roles as well as daily practice dilemmas related to the leadership styles needed. Clear organizational goals and dedicated support for both clinical nurses and nursing unit

  19. Determinants and impact of suboptimal asthma control in Europe: The INTERNATIONAL CROSS-SECTIONAL AND LONGITUDINAL ASSESSMENT ON ASTHMA CONTROL (LIAISON) study

    NARCIS (Netherlands)

    F. Braido (Fulvio); G.G. Brusselle (Guy); D. Guastalla (Daniele); E. Ingrassia (Eleonora); G. Nicolini (Gabriele); D. Price (David); N. Roche (Nicolas); J.B. Soriano (Joan B.); H. Worth (Heinrich)


    textabstractBackground: According to the Global Initiative of Asthma, the aim of asthma treatment is to gain and maintain control. In the INTERNATIONAL CROSS-SECTIONAL AND LONGITUDINAL ASSESSMENT ON ASTHMA CONTROL (LIAISON) study, we evaluated the level of asthma control and quality of life (QoL), a

  20. Design and Formative Evaluation of the Policy Liaison Initiative: A Long-Term Knowledge Translation Strategy to Encourage and Support the Use of Cochrane Systematic Reviews for Informing (United States)

    Brennan, Sue E.; Cumpston, Miranda; Misso, Marie L.; McDonald, Steve; Murphy, Matthew J.; Green, Sally E.


    The Policy Liaison Initiative (PLI) is a long-term knowledge translation initiative designed to support the use of Cochrane systematic reviews in health policy. A joint initiative between the Australasian Cochrane Centre and Australian Government Department of Health and Ageing, the PLI includes: 1) a community of practice for evidence-informed…

  1. Developing effective educational approaches for Liaison Old Age Psychiatry teams: a literature review of the learning needs of hospital staff in relation to managing the confused older patient. (United States)

    Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta


    Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams. A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes. 13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories. The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs of all healthcare professionals.

  2. The Community Liaison Program: A Health Education Pilot Program to Increase Minority Awareness of HIV and Acceptance of HIV Vaccine Trials (United States)

    Kelley, R. T.; Hannans, A.; Kreps, G. L.; Johnson, K.


    This paper describes a 16-month health education pilot program based on diffusion of innovation and social network theories. The program was implemented by volunteer community liaisons for the purposes of increasing awareness of and support for HIV vaccine research in minority populations. This theoretically driven pilot program allowed the…

  3. Aplicação da Liderança Situacional na enfermagem de centro cirúrgico Aplicación del Liderazgo Situacional en la enfermería de centro quirúrgico Use of the Situational Leadership in surgical center nursing

    Directory of Open Access Journals (Sweden)

    Marcos Antonio da Silva


    , sugiriendo que los liderados investigados presentaban nivel de madurez alto (M4.This study was aimed at identifying the correspondence of opinions between nurses in surgical centers and the nursing team regarding the leadership style exercised by nurses and the leadership style these professionals should adopt in relation to the maturity level of their subordinates. Situational Leadership was adopted as a theoretical reference frame-work. We elaborated instruments that were submitted to appearance and content validation and then applied them to 15 nurses, two technicians and 13 nursing auxiliaries. The results showed that the most frequent leadership style among nurses was E3 (to share. With respect to the leadership style nurses should adopt in relation to the maturity level of their subordinates in view of the activities in the operating room, style E4 (to delegate predominated, which suggests that the studied subordinates present a high maturity level (M4.

  4. Nursing Revalidation


    F. Cannon; McCutcheon, K.


    This article details the Nursing and Midwifery Council revalidation requirements essential for all registered nurses and midwives in the United Kingdom. Nursing revalidation is effective from April 2016 and is built on the pre-existing Post-registration education and practice. Unlike the previous process, revalidation provides a more robust system which is clearly linked to the Code and should assist towards the delivery of quality and safe effective care

  5. A profile of European ICU nursing. (United States)

    Depasse, B; Pauwels, D; Somers, Y; Vincent, J L


    To evaluate major similarities and major differences between Western European countries in intensive care unit (ICU) nurse staffing, education, training, responsibilities, and initiative. A questionnaire was sent to Western European doctor members of the European Society of Intensive Care Medicine, to be passed on to the nurse-in-charge of their ICU. 156 completed questionnaires were analyzed: 49% were from university hospitals, 26% from university-affiliated hospitals, and 25% from community hospitals; 42% of the hospitals had more than 700 beds, 67% of the ICUs had between 6 and 12 beds, and 54% were mixed medical-surgical units. Among British units, 79% had more than three full-time nursing equivalents (FTE) per ICU bed, while in Sweden 75% of units had less than two FTE/ICU bed. University hospitals had more nursing staff per bed than community hospitals. As regards training, 33% of nurses followed a training course before starting work on the ICU and 64% after starting on the unit, and 85% had easy access to continuing education, particularly in the university hospitals. In an emergency, more than 70% of nurses regularly initiated oxygen administration, mask ventilation, or cardiac massage. In Sweden 100% of nurses and in Switzerland 91% of nurses regularly inserted peripheral intravenous catheters, but only 7% of German nurses did. No German nurses and only 12% of British nurses regularly performed arterial puncture, but in Sweden 75% of nurses regularly did. Even though the number of participants were limited, our questionnaire revealed variations in nurse staffing patterns among European countries and in their systems of training and education. Nurse autonomy also varies widely between countries.

  6. The meaning of care for operating room nursing


    Cléton Salbego; Carla da Silveira Dornelles; Patrícia Bitencourt Toscani Greco; Vânia Marta Pradebon; Gabriela Fávero Alberti


    Objective: to understand the meaning of care for nursing technicians who work in the Surgical Center of a general hospital in the western border of Rio Grande do Sul/Brazil. Methods: this is a qualitative research, with an exploratory and descriptive approach. The technique used for data collection was a semi-structured interview and notes from the field diary were available for support. The respondents were eight nursing technicians of the Surgical Center. Results: it can be emphasized that ...

  7. Battlefield Lessons: The Forward Air Surgical Team (FAST) Response (United States)


    roster of diverse emergency and surgical specialties (emergency medicine, general surgery , orthopedic, oral - maxillofacial , ear- nose-throat, trauma, and...Forefront: The Army Forward Surgical Team,” Clinical Care Nursing North America , June, 2003, in PubMed.Gov, members of the United States of America enjoy the latest aviation technology available. Sikorsky’s UH-60 “Blackhawk” is the most current

  8. The influence of the cultivation of professional quality and ability of medical students' by leading the case-based learning into the teaching of surgical nursing%以案例为基础学习引入外科护理学教学中对医学生专业素质与能力培养的影响

    Institute of Scientific and Technical Information of China (English)

    常宪明; 陈锋; 胡玉春; 谭刚


    Objective To strengthen the nursing students' professional ability and quality training.Methods To choose 240 nursing students of Enshi Medical School as the research object,divide them into experimental group and control group,each group has 120 students.The experimental group uses case discussing teaching method (case-based learning,CBL) and the control group uses the traditional teaching method (lecture-based learning,LBL).Through the theory test and questionnaire survey,the teaching effects of the two groups were compared and the impact of different teaching methods on students' comprehensive ability was analyzed.Results The experimental group students score and surgical nursing of surgical nursing learning related indicators were higher than the control group.Conclusions Case discussion teaching method can significantly improve clinical thinking ability,inductive and analytical ability,and self-learning ability of nursing students.It also can stimulate students' interest in learning,training students' ability of oral expression,improve students' ability to use knowledge,cultivate students ' spirit of unity and cooperation,strengthen the interaction between teachers and students,improve students' ability of solving problems,and effectively realize basic and clinical knowledge integraction.%目的 探索加强护理专业学生专业素质与能力培养的方法.方法 采用实验对照研究方法.选取湖北省恩施州卫生学校2012级护理专业240名学生为研究对象,将其分为实验组和对照组,每组120名学生.实验组采用以案例为基础学习(case-based learning,CBL)教学方法,对照组采用传统教学方法(lecture-based learning,LBL),通过问卷调查和理论考试,比较两组学生教学效果,分析不同教学方法对学生综合能力的影响.结果 实验组学生外科护理学成绩及其对外科护理学学习相关指标的评价均高于对照组.结论 CBL教学方法能够显著提高学生的临床思维

  9. Fostering nursing ethics for practical nursing


    森田, 敏子; モリタ, トシコ; Morita, Toshiko


    Higher nursing ethics can raise nursing quality. The author attempts to define theproblem from the seedling of sensibility in practical nursing and focuses on the clinical environment surrounding nursing ethics from its pedagogical and historicalaspects. On the basis of these standpoints, the author discusses issues on the practical nursing as a practitioner of nursing ethics.

  10. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne


    by Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical......The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission...... interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired...

  11. Exploring nurses' confirmed expectations regarding health IT: a phenomenological study. (United States)

    Zadvinskis, Inga M; Chipps, Esther; Yen, Po-Yin


    Health information technology (IT) benefits both patients and providers with respect to health care quality and perceived usefulness. Although existing research provides a preliminary understanding of nurses' perception of health IT, perceptions do not guide actions. This phenomenological study explored nurses' perceptions regarding electronic health records and bar code medication administration four months post implementation on a medical-surgical unit in an academic medical center. Ten staff nurses (8 females and 2 males) participated. We categorized the results into five themes from personal-level to organizational-level confirmed expectations: (1) nurses' interaction with computer, (2) nursing performance regarding task accomplishment, (3) unit-specific teamwork, (4) interdisciplinary teamwork, and (5) quality of care. We discovered that effective health IT must be congruent with nursing expectations. IT professionals, nursing and organizational leaders may use findings to structure an environment supportive of effective health IT in nursing practice.

  12. 护理干预对姑息手术治疗胰腺癌患者生活质量的影响%Influence of nursing intervention on quality of life in palliative surgical treatment of pancreatic cancer

    Institute of Scientific and Technical Information of China (English)

    林名云; 徐友芳; 陈少容; 郭晓君; 周羽芳


    Objective:To investigate the effect of palliative treatment of pancreatic cancer patients and their families with the implementation of nursing interventions. Methods:The 98 cases of hospitalized patients with pancreatic cancer by odd and even numbers were divided into the intervention group and the control group,with 49 cases in each. The patients and their families line in the intervention group received nursing intervention and in the control group a patient-centered ho-listic nursing intervention was adopted. Hamilton Depression Scale(HAMD)and Perceived Social Support Scale(PSSS) scores,depression and social support in the two groups of patients before and after the intervention were used to assess the patientˊs condition. Results:After the intervention,the HAMD score in the observation group was lower than that in the control group(P ﹤ 0. 05),PSSS score was higher in the observation group,and the difference was statistically significant (P ﹤ 0. 05). Conclusion:Nursing intervention can relieve depression and improve the level of social support.%目的:探讨姑息性手术方法治疗胰腺癌患者实施同期护理干预的临床效果。方法将98例胰腺癌患者按住院号单双分为干预组和对照组各49例。干预组对患者行同期护理干预,对照组采取以患者为中心的整体护理干预。比较干预前后两组患者汉密尔顿抑郁量表(HAMD)及领悟社会支持量表(PSSS)得分,评估患者的抑郁情绪及社会支持情况。结果干预后,观察组 HAMD 评分低于对照组(P ﹤0.05),PSSS 评分高于对照组( P ﹤0.05)。结论同期护理干预可促进患者缓解抑郁情绪,提高社会支持水平,从而提高患者的生活质量。

  13. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer


    All healthcare visions, including that of The TIGER (Technology-Informatics-Guiding-Educational-Reform) Initiative envisage a crucial role for nursing. However, its 7 descriptive pillars do not address the disconnect between Nursing Informatics and Nursing Ethics and their distinct communities......-of-(care)-decision. Increased pressure for translating 'evidence-based' research findings into 'ethically-sound', 'value-based' and 'patient-centered' practice requires rethinking the model implicit in conventional knowledge translation and informatics practice in all disciplines, including nursing. The aim is to aid 'how...... nurses and other health care scientists more clearly identify clinical and other relevant data that can be captured to inform future comparative effectiveness research. 'A prescriptive, theory-based discipline of '(Nursing) Decisionics' expands the Grid for Volunteer Development of TIGER's newly launched...

  14. Hernia Surgical Mesh Implants (United States)

    ... Prosthetics Hernia Surgical Mesh Implants Hernia Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine) ...

  15. Urogynecologic Surgical Mesh Implants (United States)

    ... Prosthetics Urogynecologic Surgical Mesh Implants Urogynecologic Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine). ...

  16. American Pediatric Surgical Association (United States)

    American Pediatric Surgical Association Search for: Login Resources + For Members For Professionals For Training Program Directors For Media For ... Surgical Outcomes Surveys & Results Publications Continuing Education + ExPERT Pediatric Surgery NaT Annual Meeting CME MOC Requirements Residents / ...

  17. Optimizing surgical f

    Directory of Open Access Journals (Sweden)

    Sabry Mohamed Amin


    Conclusions: In our study both dexmedetomidine and esmolol were effective in reducing MABP, and lowering the heart rate providing dry surgical field and ensured good surgical condition during cochlear implant surgery in pediatric patients.

  18. Abortion - surgical - aftercare (United States)

    ... this page: // Abortion - surgical - aftercare To use the sharing features on ... please enable JavaScript. You have had a surgical abortion. This is a procedure that ends pregnancy by ...

  19. Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection. (United States)

    Azzi, Alain Joe; Shah, Karan; Seely, Andrew; Villeneuve, James Patrick; Sundaresan, Sudhir R; Shamji, Farid M; Maziak, Donna E; Gilbert, Sebastien


    Health care resources are costly and should be used judiciously and efficiently. Predicting the duration of surgical procedures is key to optimizing operating room resources. Our objective was to identify factors influencing operative time, particularly surgical team turnover. We performed a single-institution, retrospective review of lobectomy operations. Univariate and multivariate analyses were performed to evaluate the impact of different factors on surgical time (skin-to-skin) and total procedure time. Staff turnover within the nursing component of the surgical team was defined as the number of instances any nurse had to leave the operating room over the total number of nurses involved in the operation. A total of 235 lobectomies were performed by 5 surgeons, most commonly for lung cancer (95%). On multivariate analysis, percent forced expiratory volume in 1 second, surgical approach, and lesion size had a significant effect on surgical time. Nursing turnover was associated with a significant increase in surgical time (53.7 minutes; 95% confidence interval, 6.4-101; P = .026) and total procedure time (83.2 minutes; 95% confidence interval, 30.1-136.2; P = .002). Active management of surgical team turnover may be an opportunity to improve operating room efficiency when the surgical team is engaged in a major pulmonary resection. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  20. Effects of a pain program on nurses' pharmacological pain management.

    NARCIS (Netherlands)

    Francke, A.L.; Dingemans, W.A.; Borg, P.A.J.; Luiken, J.B.; Grypdonck, M.; Huijer-Abu Saad, H.


    Surgical nurses from five Dutch general hospitals participated in a continuing education program on pain assessment and management. Effects of the program were measured in a pretest-post-test control group design, in which nursing wards were randomly allocated to the experimental condition (program

  1. Supportive nursing care around breast cancer surgery : An evaluation of the 1997 status in The Netherlands

    NARCIS (Netherlands)

    Thijs-Boer, FM; de Kruif, ATC; van de Wiel, HBM


    This study aimed to assess nurses' involvement in the supportive care of patients with recently diagnosed breast cancer in Dutch hospitals. A questionnaire used to evaluate various aspects of nursing care for breast cancer patients was sent to the surgical nursing teams in all 120 Dutch hospitals th

  2. Supportive nursing care around breast cancer surgery : An evaluation of the 1997 status in The Netherlands

    NARCIS (Netherlands)

    Thijs-Boer, FM; de Kruif, ATC; van de Wiel, HBM

    This study aimed to assess nurses' involvement in the supportive care of patients with recently diagnosed breast cancer in Dutch hospitals. A questionnaire used to evaluate various aspects of nursing care for breast cancer patients was sent to the surgical nursing teams in all 120 Dutch hospitals

  3. Caregivers, school liaisons, and agency advocates speak out about the educational needs of children and youths in foster care. (United States)

    Zetlin, Andrea; Weinberg, Lois; Shea, Nancy M


    Children in foster care comprise a population of students at great risk for school failure. The child welfare agency, schools, and home must all work together to provide the services and supports required to achieve better results. The purpose of this study was to conduct focus groups with participants from each sector to discuss their views on the educational problems and needs of students in foster care and their recommendations for what is needed to improve the academic prospects of foster students. The article provides details of the distinct themes identified by caregivers, school liaisons, and agency advocates and reveals how each group-while recognizing that foster students face substantial school problems-operates independent of each other and lacks a shared view on what is needed. The article concludes with recommendations for designing a model program that involves all the sectors and provides an arena for strategically addressing barriers to school success.

  4. Use of the Planning Outreach Liaison Model in the Neighborhood Planning Process: A Case Study in Seattle's Rainier Valley Neighborhood

    Directory of Open Access Journals (Sweden)

    Molly Oshun


    Full Text Available Our study examines a nontraditional engagement process employed by the City of Seattle during neighborhood plan updates. Adapting the trusted advocates model from the public health field, the city hired planning outreach liaisons (POLs from 13 diverse community groups to solicit input from traditionally underrepresented residents. To explore the efficacy of this approach, we collected data through interviews with residents, neighborhood leaders, community development firm employees, university researchers, and municipal staff; a review of planning documents; observation at planning meetings. We found that the POLs effectively engaged underrepresented groups—including more than 1,200 stakeholders—particularly those characterized as self-organized, centralized or having strong social networks and were important in the advancement of democratic principles. Greater transparency by the city about process goals and constraints, along with strategies to address power issues, may have facilitated better communication and relationship building among the city, newly enfranchised residents, and the “usual suspects.”

  5. Fracture Liaison Services in an open system: how was it done? what were the barriers and how were they overcome? (United States)

    Chandran, Manju


    A fragility fracture signals the potential for the occurrence of a subsequent fracture, and it often represents the first opportunity for care of osteoporosis. It is now well accepted knowledge that fracture liaison services can close or, at the very least, narrow the care gap that exists in the management of these sentinel events in patients with osteoporosis. The challenge, however, lies in translating this knowledge into practice and to implement these programs in health care systems with varied infrastructure and delivery practices operating in varied geographical environments. A review of a functioning model of care in an open health system in an Asian country and a short account of the problems encountered and the lessons learned during the course of its implementation are provided.

  6. Contextual phonological errors and omission of obligatory liaison as a window into the span of phonological encoding in aphasic patients

    DEFF Research Database (Denmark)

    Lange, Violaine Michel; Cheneval, Pauline Pellet; Python, Grégoire


    Background: The question of how much speakers plan ahead before they start articulating their message is essential to understand how fluency is ensured during speech production. This question has been largely investigated in healthy speakers. Surprisingly, this remains unexplored for brain......-damaged speakers, even though a reduced span of encoding might account for the fact that those impaired speakers often produce scattered speech. Aims: In this study, we examine whether the span of encoding is reduced in some left hemisphere brain-damaged speakers by taking advantage of two linguistic phenomena...... which provide an insight into ahead phonological planning. Methods and procedures: First, we elicit the production of French sequences involving obligatory liaisons (e.g., /mõ/ and /ami/ produced /mõ.nami/), for which the correct production requires ahead planning, at least up to the first phoneme...

  7. [patient Profile And Nursing Workload At The Nephrology Unit].


    Trepichio,Priscilla Branco; Guirardello,Edinêis de Brito; Duran,Erika Christiane Marocco; de Brito, Ana Paula


    Chronic kidney failure (CKF), which is frequently silent, can lead to considerable changes in the lives of patients. Depending on the stage, hospitalization and hours of nursing care are required to ensure medical and surgical treatment. The aim of this descriptive and quantitative study is to measure nursing workload at a nephrology unit based on daily application of the Nursing Activities Score (NAS) for 47 consecutive days. Patients were mostly young male adults in the chronic stage of the...

  8. Foucault could have been an operating room nurse. (United States)

    Riley, Robin; Manias, Elizabeth


    Operating room nursing is an under-researched area of nursing practice. The stereotypical image of operating room nursing is one of task- and technically-orientated aspects of practice, where nurses work in a medical model and are dominated by constraints from outside their sphere of influence. This paper explores the possibility of understanding operating room nursing in a different way. Using the work of Michel Foucault to analyse the work of operating room nursing, this paper argues the relevance of the framework for a more in-depth analysis of this specialty area of practice. The concepts of power, discipline and subjectivity are used to demonstrate how operating room nursing is constructed as a discipline and how operating room nurses act to govern and construct the specialty. Exemplars are drawn from extensive professional experience, from guidelines of professional operating room nursing associations, as well as published texts. The focus is predominantly on the regulation of space and time to maintain the integrity of the sterile surgical field and issues of management, as well as the use of the ethical concept of the 'surgical conscience'. This form of analysis provides a level and depth of inquiry that has rarely been undertaken in operating room nursing. As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development.

  9. 88例骨科手术切口感染手术护理要点分析%The nursing essentials for surgical wound infection after bone surgery in 88 patients

    Institute of Scientific and Technical Information of China (English)

    郭汉卿; 谢婉萍


    目的 探讨并分析骨科手术后切口的感染情况.方法 2008年3月至2011年3月于我院因骨科就诊并行手术的1884例中发生了感染88例,对其切口类型、患者情况进行问卷调查分类总结,同时,将伤口的感染部分送检区分感染细菌种类.结果 Ⅲ类切口的感染率最高,为2.49%;感染发生在手术的5~8天之间,为61.36%;感染的病原菌以G-杆菌为主,占77.27%.结论 改善手术切口的感染需要提高患者自身的健康卫生知识、加强医护人员对患者的关心及重视和提高院方的控制感染的管理.%Objective To investigate and analyze the occurrence of surgical wound incision after bone surgery.Methods 88 patients who had developed surgical wound infection after bone surgery during the period of March 2008 to March 201 1 were surveyed by questionnaires for types of incision and patient conditions.The infected parts of surgical wound was tested for identifying types of related bacteria.Results Type Ⅲ incision had the highest infection rate of 2.49%.61.36% of the wound infection eccurred 5 to 8 days after bone surgery.G- bacillus was the main pathogenic bacteria,accounting for 77.27%.Conclusions Control of surgical wound infection after bone surgery needs an increase in self knowledge of health,enhancement of patient care from medical staff,and strengthened management of infection control.

  10. Patient-Centered Homes and Integrated Behavioral Health Care: Reclaiming the Role of "Consultant" for Psychiatric-Mental Health Nurse Practitioner. (United States)

    Soltis-Jarrett, Victoria


    The notion of patient-centered care has long been linked with nursing practice since Florence Nightingale. The discipline of nursing is focused on the holistic care of individuals, families, and communities in times of sickness and/or health. However, in psychiatric-mental health nursing, the concepts of mental health and psychiatric illness still remain marginalized in our health care delivery systems, as well as in nursing education, knowledge development, and practice. Even with the concept of patient-centered homes, acute and primary care providers are reluctant to embrace care of those with psychiatric illness in their respective settings. Psychiatric illness was and continues to be in the shadows, hidden and often ignored by the larger community as well as by health care providers. This paper describes a Health Resources Services Administration (HRSA) Advanced Nursing Education (ANE) training grant's objective of reintegrating psychiatric-mental health practice into ALL health care delivery systems using the concept of patient-centered nursing care as a foundation for, and promotion of, the Psychiatric-Mental Health Nurse Practitioner (PMH-NP) as the "navigator" for not only the patients and their families, but also for their acute and primary care colleagues using an Interprofessional Education Model. The major barriers and lessons learned from this project as well as the need for psychiatric-mental health nurses to reclaim their role as a consultant/liaison in acute, primary, and long-term care settings will be discussed. The PMHNP as a consultant/liaison is being revitalized as an innovative advanced practice nursing health care model in North Carolina.

  11. Factors influencing nurses' perceptions of occupational safety. (United States)

    Samur, Menevse; Intepeler, Seyda Seren


    To determine nurses' perceptions of occupational safety and their work environment and examine the sociodemographic traits and job characteristics that influence their occupational safety, we studied a sample of 278 nurses. According to the nurses, the quality of their work environment is average, and occupational safety is insufficient. In the subdimensions of the work environment scale, it was determined that the nurses think "labor force and other resources" are insufficient. In the occupational safety subdimensions "occupational illnesses and complaints" and "administrative support and approaches," they considered occupational safety to be insufficient. "Doctor-nurse-colleague relationships," "exposure to violence," and "work unit" (eg, internal medicine, surgical, intensive care) are the main factors that affect occupational safety. This study determined that hospital administrations should develop and immediately implement plans to ameliorate communication and clinical precautions and to reduce exposure to violence.

  12. 情景教学法在外科护理实训教学中对护生无菌观念的影响%Effect on Nursing Students' Sterile Concept by Using Scene Teaching Method in Surgical Nursing Practical Teaching

    Institute of Scientific and Technical Information of China (English)

    周晶晶; 刘波


      Aseptic technique throughout the clinical nursing process, is an important and basic technology to prevent from hospital infection in medical care, is the important guarantee for nursing quality. Aseptic technique is also the focus of nursing teaching, raises the student strict aseptic concept is the top priority of the basic nursing teaching. With the scenario teaching method, we can strengthen the students have bacterium operation, sterile concept, further strengthening students' sterile idea, and lay a solid foundation for its future career.%  无菌技术贯穿于整个临床护理过程中,是医疗护理操作中预防感染的一项重要而基本的技术,是护理质量的重要保证,培养学生严格的无菌观念是护理基础教学的重中之重。采用情景教学方法,可增强学生的有菌操作、无菌观念的意识,进一步强化学生的无菌观念,为其今后的职业生涯打下坚实的基础

  13. Acceptance of the WHO Surgical Safety Checklist among surgical personnel in hospitals in Guatemala city

    Directory of Open Access Journals (Sweden)

    Hurtado Juan J


    Full Text Available Abstract Background Studies have highlighted the effects the use of the WHO Surgical Safety Checklist can have on lowering mortality and surgical complications. Implementation of the checklist is not easy and several barriers have been identified. Few studies have addressed personnel’s acceptance and attitudes toward the WHO Surgical Safety Checklist. Determining personnel’s acceptance might reflect their intention to use the checklist while their awareness and knowledge of the checklist might assess the effectiveness of the training process. Methods Through an anonymous self- responded questionnaire, general characteristics of the respondents (age, gender, profession and years spent studying or working at the hospital, knowledge of the WHO Surgical Safety Checklist (awareness of existence, knowledge of objectives, knowledge of correct use, acceptance of the checklist and its implementation (including personal belief of benefits of using the checklist, current use, teamwork and safety climate appreciation were determined. Results Of the 147 surgical personnel who answered the questionnaire, 93.8% were aware of the existence of the WHO Surgical Safety Checklist and 88.8% of them reported knowing its objectives. More nurses than other personnel knew the checklist had to be used before the induction of anesthesia, skin incision, and before the patient leaves the operating room. Most personnel thought using the WHO Surgical Safety Checklist is beneficial and that its implementation was a good decision. Between 73.7% and 100% of nurses in public and private hospitals, respectively, reported the checklist had been used either always or almost always in the general elective surgeries they had participated in during the current year. Conclusions Despite high acceptance of the checklist among personnel, gaps in knowledge about when the checklist should be used still exist. This can jeopardize effective implementation and correct use of the checklist

  14. 腹腔镜胆囊切除与开腹手术中应用快速康复外科护理的效果比较%The effect comparison on the fast rehabilitation surgical nursing between laparoscopic cholecystectomy and conventional open surgery

    Institute of Scientific and Technical Information of China (English)



    目的 探讨腹腔镜胆囊切除与开腹手术中应用快速康复外科护理的效果比较.方法 选取2010年7月至2012年7月在我院救治的94例胆囊切除患者,随机分为观察组(腹腔镜手术)和对照组(传统开腹手术)各47例.分析比较两组患者应用快速康复外科护理后的临床疗效.结果 观察组总有效率为91.5%,对照组总有效率为74.5%,观察组治疗效果显著优于对照组,差异有统计学意义(P<0.05);观察组手术时间、术后排气时间、手术出血量、住院时间及手术疼痛评分均显著优于对照组,差异有统计学意义(P<0.05);观察组住院天数和住院费用均显著低于对照组,差异有显著性(P<0.05);观察组满意度显著高于对照组,差异有显著性(P<0.05).结论 快速康复外科护理应用于腹腔镜胆囊切除术,具有疗效佳、创伤小、恢复快、住院时间短和患者满意度高等优点,值得在临床上应用和推广.%Objective To evaluate the diffirent effect of the fast rehabilitation surgical nursing between laparoscopic cholecystectomy and conventional open surgery.Methods A total of 94 patitents with cholecystectomy in our hospital from July 2010 to July 2012 were selected and randomly divided into observation group (laparoscopic surgery) and control group (conventional open surgery),each group contained 47 cases.The clinical curative effect of the two groups after the fast rehabilitation surgical nursing were analyzed and compared.Results The total effect rate of the observation group was 91.5%,and the control group was 74.5%.The curative effects of the observation group were significantly better than those of the control group (P < 0.05) ; the operative time,postoperative exhaust time,operative blood loss,duration of hospitalization and surgery pain ratings of the observation group were significantly better than those of the control group.There were statistical significant differences (P < 0.05).The

  15. Effects of a nursing pain programme on patient outcomes.

    NARCIS (Netherlands)

    Francke, A.L.; Garssen, B.; Luiken, J.B.; Schepper, A.M.E. de; Grypdonck, M.; Huijer Abu-Saad, H.


    The effectiveness of a continuing pain education program, directed to surgical cancer nurses, was investigated in a pretest posttest controlled intervention study. ANCOVA for repeated measures revealed that the programme resulted in a lower pain intensity of surgical colon and breast cancer patients

  16. PBL教学模式在中职护理专业外科护理学教学中的应用研究%Research on the application of PBL teaching mode in the teaching of surgical nursing in the secondary vocational school

    Institute of Scientific and Technical Information of China (English)



    Objective To explore Research on the application of PBL teaching mode in the teaching of surgical nursing in the secondary vocational school. MethodsA total of 88 students Randomly selected Beijing Vocational College of health four nursing class as the research object,set as the control group and the observation group, the observation group used PBL teaching method,the control group still use traditional teaching methods, in the teaching of a month after the end of the two groups of students unified test, and the issuance of the questionnaire, the comparison of the two groups of students grade point average and class feelings were all observed.ResultsObserve the group theory examination results excellent rate (76.1%), comprehensive skills examination results excellent rate (91.3%),which was significantly higher than that in the control group theory examination results excellent rate (42.7%), the excellent rate of comprehensive skills examination (58.3%), the difference is statistically significant (P<0.05).Questionnaire showed that PBL teaching method in stimulate students interest in learning,improve the students' learning efficiency, deepen the understanding of the theory,the consolidation of memory,has obvious effect, and compared to the control group students questionnaire, the difference with statistical significance(P<0.05).ConclusionApplication of PBL teaching method in the teaching of surgical nursing in secondary vocational nursing students can effectively improve the students’ academic performance, and significantly improve the level of comprehensive skills.%目的:探讨PBL教学模式在中职护理专业外科护理学教学中的应用效果。方法随机选择北京卫生职业学院四个护理班共计188例学生作为研究对象,设置为对照组与观察组,观察组采用PBL教学法,对照组仍采用传统教学法,在一个月的教学结束后对两组学生进行统一测试,并发放调查问卷,比较两组学生的

  17. Surgical Lasers In Gynecology (United States)

    Schellhas, Helmut F.; Barnes, Alfonso E.


    Multipurpose surgical CO2 lasers marketed in the USA have been developed to be applicable to a variety of surgical procedures in many surgical fields. They are all suited for endoscopic surgical procedures and can be fitted to all standard surgical microscopes. They all can adjust the focal length of the laser beam to the different standard focal lengths of the surgical microscope which for instance in laryngoscopy is 400 mm and in colposcopy 300 mm. One laser instrument can even change the spot size in a given focal distance which is very advantageous for some microsurgical procedures (Merrimack Laboratories 820). All multipurpose surgical CO2 laser systems provide a multi-articulated surgical arm for free-hand surgery. The surgical arms are cumbersome to use but they are adapted to the surgeons needs with ingenuity. The practicality of the multi-articulated surgical arms depends mostly on the distance of the handpiece from the surgical console which now is also overbridged by the laser tube in most surgical laser system. The spot size of the beam is variable in most handpieces by interchangeable lenses which modify the focal distance of the beam and the power density. Another common feature in all systems is a coaxial He-Ne pilot light which provides a red spot which unfortunately becomes invisible in a bleeding surgical field. Most surgical laser systems have a spacial mode of TEM 00 which is essential for incisional surgery. The continuous mode of beam delivery is used for incisional surgery and also for most endoscopic procedures.

  18. Caring for migrant farm workers on medical-surgical units. (United States)

    Anthony, Maureen J


    Over 3 million migrant farm workers are employed in the United States. Many factors place them at risk for work-related disease and injury. Knowledge of workers' health issues can prepare medical-surgical nurses to anticipate and meet the needs of this underserved population.

  19. [Wound prevention in the surgical intensive care unit]. (United States)

    Le Moel, Carole; Mounier, Roman; Ardic-Pulas, Taline


    Literature reports a high prevalence of wounds in the hospital environment. A study devoted to wounds encountered in post-surgical intensive care has been carried out in a university hospital. This work highlighted the diversity of acute wounds mainly observed in intensive care and the difficulties nurses have in managing them.

  20. Nursing Home Checklist (United States)

    ... nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing home Medicaid ...


    Directory of Open Access Journals (Sweden)

    Ni Luh Ade Kusuma Ernawati


    Full Text Available Introduction: Nurses are health workers in hospitals that provide nursing care to patients for 24 hours. Workload of nurses was high due to insufficient numbers of nurses. It will have an impact on the decrease in work productivity that may affect nurses care for patients. To get the human resources necessary to suit the needs of nursing manpower planning to increase the competitiveness of hospitals in the era of globalization. The research objective was to analyze the real needs of nurses on staff workload indicators need (WISN. Method: The study design was observational analytic. Analysis of workload using the method of approach to time and motion study. Sample were 24 nurses who met the inclusion criteria. Analysis of the needs of staff nurses using the workload indicators need (WISN. Result: The results obtained based on the calculation of nurses with WISN method needs of nurses in the medical-surgical nurses as many as 54 people. Objective workload of nurses in the room medical surgery general state hospital of Bali is the average 82.61%, including height. The total time required to complete the productive activities of more than 80%. Discussion: Conclusion of this study show the number of nurses in the medical-surgical general hospital bali is still lacking as many as 30 people. It is suggest to the hospital management to increase gradually the number of nurses in the medical room.

  2. Naturalistic nursing. (United States)

    Hussey, Trevor


    Where nurse education aims to provide an overarching intellectual framework, this paper argues that it should be the framework of naturalism. After an exposition of the chief features of naturalism and its relationship to science and morality, the paper describes naturalistic nursing, contrasting it with some other perspectives. There follows a defence of naturalism and naturalistic nursing against several objections, including those concerning spirituality, religion, meaning, morality, and alternative sources of knowledge. The paper ends with some of the advantages of the naturalistic approach.

  3. Nurse Managers’ Perceptions and Experiences Regarding Staff Nurse Empowerment: A Qualitative Study

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    Peter eVan Bogaert


    Full Text Available AimTo study nurse managers’ perceptions and experiences with staff nurse structural empowerment and the impact on the nurse manager leadership role and style.BackgroundNurse managers’ leadership roles may be viewed as challenging given the complex needs of patients in the context of staff nurses’ involvement in clinical as well organizational decision-making processes, in interdisciplinary care settings.DesignQualitative phenomenological study MethodsIndividual semi-structured interviews of 8 medical or surgical nurse managers were conducted in a 600-bed Belgian university hospital between December 2013 and June 2014. This organization was undergoing a transformational process to convert from a classic hierarchical and departmental structure to one that was flat and interdisciplinary.ResultsNurse managers were familiar with and held positive attitudes about nurse structural empowerment in the hospital. They conveyed the positive impact of empowerment on their staff nurses that in turn improved the quality of care and patient safety. Structural empowerment was supported by several change initiatives at the unit and hospital levels and nurse managers’ experiences with these initiatives was reported as mixed because of the changing demands on their manager role and leadership style. In addition, pressure was experienced both by staff nurses and nurse managers through direct patient care priorities, tightly scheduled projects and miscommunication.ConclusionNurse managers reported a favourable impact of structural empowerment on staff nurses’ professional attitudes and the safety and quality of care on their units. However, they also reported that the empowerment process, created changing demands in the manager role as well as daily practice dilemmas with regard to needed leadership styles. Clear organisational goals and dedicated support for nurses as well as nursing unit managers will be imperative to sustain an empowered practice

  4. Bone care nurses and the evolution of the nurse's educational function: the Guardian Angel(®) research project. (United States)

    Alvaro, Rosaria; Pennini, Annalisa; Zannetti, Emanuela Basilici; Cittadini, Noemi; Feola, Maurizio; Rao, Cecilia; D'Agostino, Fabio; Vellone, Ercole; Tarantino, Umberto


    Osteoporosis mostly affects females over 50 years old, worldwide. The main osteoporosis complication is fragility fractures that reduce quality of life and cause morbidity and mortality. Most patients who have fragility fractures are treated for the fracture. However, patients' adherence to follow-up treatment plans is poor. Therefore, tailored educational interventions are needed to improve medication adherence and healthy lifestyles. In this context, the role of bone care nurses is important, as they can act at different levels of osteoporosis prevention and fracture liaison services, which are secondary fracture prevention programmes implemented by health care systems to treat osteoporotic patients. In Italy, a research project called Guardian Angel(®) was developed to provide tailored education to osteoporotic women in order to improve their disease management and reduce related complications.

  5. The cancer and leukemia group B oncology nursing committee (1983-2006): a history of passion, commitment, challenge, and accomplishment. (United States)

    Smith, Ellen Lavoie; Skosey, Consuelo; Armer, Jane; Berg, Deborah; Cirrincione, Constance; Henggeler, Mary


    The Cancer and Leukemia Group B (CALGB) Oncology Nursing Committee (ONC) was initially established in 1983 as a working group with the specific aim of promoting protocol compliance through collaboration, communication, and education to enhance the scientific goals of the Group. Due to the efforts of its members, the committee gained full committee status. ONC members now serve as principal investigators and coinvestigators on research studies, continue to sponsor biannual educational sessions individually and in concert with other CALGB committees, and continue to develop tools to enlighten patients about their disease and the clinical trial process. The ONC, an administrative group of 12 members, provides leadership within CALGB. Although ONC members have always acted as liaisons to the disease and modality committees, three positions have recently been designated specifically for doctorally prepared nurse scientists. Since its inception, general nurse membership within the group has more than doubled to a total of more than 500 members.

  6. 改良式手术室技能综合实训在大专外科护理教学中的应用%Modified operating-room skill comprehensive practical training in surgical nursing teaching at junior colleges

    Institute of Scientific and Technical Information of China (English)

    张源慧; 李鹏


    目的探讨改良式手术室技能综合实训在大专外科护理学中的改革和实践体会。方法随机抽取40名大专护生为实验组,另抽取40名为对照组。对照组采取传统手术室技能综合实训教学法,实验组采取改良式手术室技能综合实训,实行参与式角色扮演教学,对2组护生进行手术室技能考核,并发放自制调查问卷,进行教学效果评价。结果手术室技能理论考核成绩两组无统计学差异;手术室技能操作考核成绩实验组高于对照组(P<0.05);实验组护生对改良式手术室技能综合实训效果评价各项指标同意率均在90%以上,参与式角色扮演实训教学法受到大专护生普遍欢迎及认可。结论改良式手术室技能综合实训有利于提高大专护生的技能操作水平和自主操作积极性,减轻教师实训压力,提高了实训教学质量。%Objective To explore educational reform and practice experience of modified operating room skill comprehensive practical training in surgical nursing practical training of junior colleges.Methods We randomly selected 36 student nurses of Class 2010 in a junior college as the experimental group and another 40 as the control group .The control group received the traditional operating room skill comprehensive practical training teaching methodology while the experimental group received modified operating room skill comprehensive practical training and practice participating roll play teaching.The two groups of student nurses were tested in operating room skills and surveyed with a self -designed questionnaire for evaluating the teaching effects .Results There was no significant difference in operating room skill theoretical test scores ( P <0 .05 ) , but the experimental group outperformed the control group in operating room skill test .The agreement percentage of each effect evaluation index for educational reform and practice of modified operating

  7. Knowledge and fulfillment of biosecurity standards in nurse personal. Almanzor Aguinaga National Hospital. Chiclayo 2002


    SOTO, VÍCTOR; Oficina Epidemiología y Programas Hospital Nacional Almanzor Aguinaga; OLANO, ENRIQUE; Centro de Prevención de Riesgos del Trabajo


    Objectives: To determine knowledge and fulfilment of biosecurity standards in nurses and nurse technicians who work in high risk areas. Material and Methods: Transversal, prospective and descriptive study. Population included nurses and nurse technicians who work at Emergency, Intensive Care Unit (ICU), Intermediate Care Unit (UCEMIN), General Surgery, Surgical Center, Neonatology and Hemodialysis services at Chiclayo Almanzor Aguinaga National Hospital, EsSalud. The sample included 117 worke...

  8. You Want Me in Outpatient Oncology Nursing? A New Graduate Story. (United States)

    Hawley, McKenzie


    When I was in nursing school, I was one of a handful of students presented with a unique opportunity to fulfill our medical-surgical nursing requirement: a six-week clinical rotation at a large, outpatient, National Cancer Institute-designated comprehensive cancer center. This opportunity was an innovative experiment between the College of Nursing at Seattle University and the Seattle Cancer Care Alliance (SCCA). The collaboration was coined the Dedicated Education Unit (DEU) by nursing management.

  9. Clinical decision making of nurses working in hospital settings. (United States)

    Bjørk, Ida Torunn; Hamilton, Glenys A


    This study analyzed nurses' perceptions of clinical decision making (CDM) in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Nurses' decision making was categorized into analytic-systematic, intuitive-interpretive, and quasi-rational models of CDM. Most nurses reported the use of quasi-rational models during CDM thereby supporting the tenet that cognition most often includes properties of both analysis and intuition. Increased use of intuitive-interpretive models of CDM was associated with years in present job, further education, male gender, higher age, and working in predominantly surgical units.

  10. Nursing Home


    Allocca Hernandez, Giacomo Antonio


    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  11. Manual of Surgical Instruments

    Directory of Open Access Journals (Sweden)

    Olga Lidia Sánchez Sarría


    Full Text Available Surgical instruments are the group of tools used in surgical procedures. They are very expensive and sophisticated. Consequently, a standardized and meticulous care is essential; they should go through the decontamination, cleaning and sterilization process. These instruments are designed in order to provide surgeons with tools that help them to perform a basic surgical procedure; there are multiple variations and the design depends on their function. This paper aims at showing all surgical instruments that can be used in an operating room during surgery and are not generally included in the medical literature.

  12. Community Liaison as Factor for Image and Positioning of the Autonomous University of Baja California, Mexico, in the Social and Productive Context

    Directory of Open Access Journals (Sweden)

    Víctor Manuel Alcántar Enríquez


    Full Text Available This study presents the results of an extensive research on the society’s perceptions of the activities the Autonomous University of Baja California (UABC, for its acronym in Spanish Universidad Autónoma de Baja California develops in Mexico. This non-experimental research uses an explorative-descriptive methodology, with a transactional research design based on a holistic method and an illuminative evaluation, which analyzes the institutional positioning of UABC in several social sectors, as well as its determining factors. Results support the hypothesis that liaison activities have a significant effect on the regional positioning of the UABC as a higher education institution. The results also helped to identify weaknesses and opportunities that could direct future institutional efforts. In addition, this study provides new elements on liaison, institutional image, and positioning, as well as a conceptual model that involves these variables.

  13. A comunicação do enfermeiro cirúrgico na orientação do paciente: a influência cultural La comunicación del enfermero quirúrgico en la orientación del paciente: la influencia cultural Communication of nurses in surgical units in the orientation of patients: cultural influence

    Directory of Open Access Journals (Sweden)

    Márcia Maria Fontão Zago


    Full Text Available Este estudo teve como objetivo descrever a influência da cultura na interação verbal do enfermeiro cirúrgico, na orientação do paciente. Sob o enfoque metodológico da etnografia, os autores descrevem as características da interação verbal relacionadas com o conhecimento, as crenças, os valores, os padrões e a organização do trabalho, no contexto cultural.Este estudio tubo como objetivo describir la influencia de la cultura en la interacción verbal del enfermero quirúrgico en la orientación del paciente. Utilizando la etnografía como enfoque metodológico, los autores describen las características de la interacción verbal relacionadas con el conocimiento, las creencias, los valores, los patrones y la organización del trabajo, en el contexto cultural.The aim of this study was to describe the influence of culture on the verbal interactions of the surgical nurse in the orientation of patients. On the basis of ethnography, authors describe the characteristics of the verbal interaction related to knowledge, beliefs, values, pattterns and work organization, in the cultural context.

  14. [Systematization of nursing assistance to patients with diabetes mellitus and chronic renal failure]. (United States)

    Mascarenhas, Nildo Batista; Pereira, Álvaro; da Silva, Rudval Souza; da Silva, Mary Gomes


    This is a clinical case study developed during the practical activities of the discipline Surgical Clinical Nursing I, of course of Graduation in Nursing of a public university of Bahia State, that aimed to report the application of the Systematization of Nursing Assistance in the assistance to a client whit Diabetes Mellitus and Chronic Renal Insufficiency. With the development of the study, especially after the positive improvement of the client, face to assistance planned and implemented and considering the reflections that emerged, it was possible to evidence the need for interface between Systematization of Nursing Assistance, the nursing staff and client in the care process, at the excellence and uniqueness of nursing care.

  15. The intraoperative surgical context. Appreciations from a group of patients and from the nursing team El contexto quirúrgico transoperatorio. Apreciaciones de un grupo de pacientes y del equipo de enfermería O contexto cirúrgico intra-operatório. Apreciações de um grupo de pacientes e da equipe de enfermagem

    Directory of Open Access Journals (Sweden)

    Ángela María Salazar Maya


    Full Text Available Objective. To interpret the experience of being unconscious or alert from a group of patients during the surgical act and appreciations from the members of the nursing team on the same context. Methodology. Qualitative study focusing on grounded theory. Information was collected through a observation and b interviews to 20 patients, 19 nursing aides, and 8 nursing professionals who work in level II surgical centers in Valle de Aburrá, Colombia. Results. From being aware of everything to being at the mercy of another, during el intraoperative, the patient goes through different states of conscience, which means being subjected to total care. Instead, for the nursing personnel the same context implies different behavior going between two environments: the 'scenario' -when in front of the patient awake, which involves measured and diplomatic behavior; or, 'behind the scenes' - with the person under the effects of anesthesia - the behavior is more free and uninhibited. Conclusion. The intraoperative surgical context is different for patients and for the nursing team. However, it is necessary to bear in mind that they are caring for a human being who requires respect, dignified treatment, and that care must be promoted under an ethical perspective.Objetivo. Interpretar la experiencia de un grupo de pacientes con respecto al estar inconsciente o alerta durante el acto quirúrgico y las apreciaciones de los miembros del equipo de enfermería sobre el mismo contexto. Metodología. Estudio cualitativo con enfoque en la teoría fundamentada. La información se recolectó mediante a observación y, b entrevistas a 20 pacientes, 19 auxiliares de enfermería y 8 enfermeras, quienes laboran en centros quirúrgicos de segundo nivel del valle de Aburrá, Antioquia (Colombia. Resultados. Desde dándome cuenta de todo hasta estando a merced del otro, durante el transoperatorio, el paciente transita por diferentes estados de consciencia que le significa

  16. Ambiente do Centro Cirúrgico e os elementos que o integram: implicações para os cuidados de enfermagem Ambiente del quirófano y sus elementos: implicaciones para la atención de enfermería Surgical Center environment and its elements: implications for nursing care

    Directory of Open Access Journals (Sweden)

    Denise Conceição Silva


    Full Text Available Pesquisa qualitativa que objetivou caracterizar os elementos que integram o ambiente do Centro Cirúrgico e analisar suas implicações para a dinâmica de cuidar e de cuidados de enfermagem. Ancorou-se nos princípios da Teoria Ambientalista. Participaram 12 enfermeiras do centro cirúrgico de um Hospital Universitário do Rio de Janeiro. Os dados foram produzidos pela técnica de criatividade e sensibilidade "Mapa-Falante", entrevista semi-estruturada e observação participante; e analisados por categorias temáticas. Os resultados apontam que o cuidado ocorre direta e indiretamente, em prol da plena restauração do cliente, incluindo o ambiente que o integra, de modo a manter-se harmônico e equilibrado. As intervenções da enfermeira são no sentido de manter o ambiente em condições favoráveis de modo a torná-lo promotor de cuidados.Investigación cualitativa que objetivó caracterizar los elementos que integran el ambiente del quirófano y analizar sus implicaciones para la dinamica del cuidar y del cuidado de enfermería. Basada en los principios de la Teoría Ambientalista. Participaran 12 enfermeras del quirófano de un Hospital Universitario del Río de Janeiro. Los datos foran producidos por la técnica de creatividad y sensibilidad "Mapa-Hablante", entrevista semi estructurada y observación participante; y analizados por categorías temáticas. Los resultados apuntan que el cuidado ocurre directa e indirectamente, a favor de la plena restauración del cliente, incluyendo el ambiente que lo integra, de modo a mantenerse harmónico y equilibrado. Las intervenciones de la enfermera son en el sentido de mantener el ambiente en condiciones favorables de modo a tornalo promotor de los cuidados.The purpose of this qualitative research was to characterize the elements that constitute the environment of the Surgical Center and to analyze its implications for dynamic of care and nursing care. Based on the Environmental Theory

  17. 手足背静脉逆行穿刺法在外科日常护理中的应用%Application of Retrograde Puncture of Hand and Foot Dorsal Vein in Surgical Nursing

    Institute of Scientific and Technical Information of China (English)

    桂蕾; 罗艳平


    目的::提高外科患者的静脉利用率和静脉穿刺成功率。方法:在手足背浅静脉上采用逆向穿刺法静脉输液。结果:静脉穿刺输液成功率明显提高。结论:患者如重症或手足背浅静脉由于长期输液破坏严重,建议采用逆向穿刺静脉输液。%Objective:To improve the utilization rate of venous puncture and the success rate of vein puncture in surgical patients.Methods:The method of reverse puncture was used in the vein infusion in the superficial vein of the hand and foot.Results:The success rate of intravenous infusion was significantly im-proved.Conclusion:The method of reverse puncture vein infusion is suggested if the sickness is intensive or superficial vein of hand and foot is seriously damaged due to long-term severe transfusion.

  18. 达芬奇机器人系统在外科手术中的应用及护理管理%Application and Nursing Management of DaVinci Robot System in the Sur-gical Operation

    Institute of Scientific and Technical Information of China (English)

    邱德叶; 黄静波; 朱玉玲


    目的:分析达芬奇机器人系统在外科手术中的应用及效果。方法该院外科于2010年开始落实使用达芬奇机器人系统,选择2010年1月-2015年12月期间实施的达芬奇手术1818例作为观察组,另选择2003年1月-2009年12月期间外科常规手术1818例作为对照组。对比分析术中出血量、手术时间、住院时间、术后并发症率情况,并统计手术满意度,观察两组患者手术延误、拖台等不良事件情况,评估达芬奇机器人系统应用效果。结果观察组术中出血量、手术时间、住院时间、术后并发症率均显著少于对照组,组间差异有统计学意义(P<0.05)。观察组手术满意度(78.71%)显著高于对照组(68.70%),组间差异有统计学意义(P<0.05)。观察组不良事件发生率(0%)显著低于对照组(2.59%),组间差异有统计学意义(P<0.05)。结论达芬奇机器人在外科手术中,提高了手术的精细度、使患者快速恢复、住院时间缩短,且患者对其接受度良好,优势性明显,临床应用价值较高,值得推广使用。%Objective To analyze the application and effect of DaVinci robot system in the surgical operation. Methods The DaVinci robot system had begun to be applied in the surgical department since 2010, 1818 cases with DaVinci operation from January 2010 to December 2015 were selected as the observation group, 1818 cases of patients with routine surgical operation from January 2003 to December 2009 were selected as the control group, and the intraoperative blooding amount, operation time, length of stay and postoperative complication rate were compared and analyzed, and the operation satisfacto-ry degree was counted, and the adverse events including operation delay of the two groups were observed, and the applica-tion effect of the DaVinci robot system was assessed. Results The intraoperative blooding amount, operation time, length of stay and postoperative complication rate

  19. Instructional Objectives for Junior College Courses in Nursing: Medical Surgical Nursing I; and Obstetrics Nursing. (United States)

    Purdy, Leslie, Comp.

    These instructional objectives have been selected from materials used at Golden West College (California). These objectives are offered simply as samples that may be used where they correspond to the skills, abilities, and attitudes instructors want their students to acquire. These objectives may also serve as models for assisting instructors to…

  20. Surgical ethics and the challenge of surgical innovation. (United States)

    Angelos, Peter


    Surgical ethics as a specific discipline is relatively new to many. Surgical ethics focuses on the ethical issues that are particularly important to the care of surgical patients. Informed consent for surgical procedures, the level of responsibility that surgeons feel for their patients' outcomes, and the management of surgical innovation are specific issues that are important in surgical ethics and are different from other areas of medicine. The future of surgical progress is dependent on surgical innovation, yet the nature of surgical innovation raises specific concerns that challenge the professionalism of surgeons. These concerns will be considered in the following pages.

  1. Health promotion in nurses: is there a healthy nurse in the house? (United States)

    McElligott, Deborah; Siemers, Sarah; Thomas, Lily; Kohn, Nina


    The purpose of this pilot study was to examine the health-promoting lifestyle behaviors of acute-care nurses using the Health Promotion Model. Statistical analysis of 149 returned Health-Promoting Lifestyle Profile II surveys indicates areas of weakness in stress management and physical activity. No significant difference is found between unit, demographic factors, and subscale scores at the p surgical nurses consistently scored better than the critical-care nurses in health promotion. Findings support the need for the development of holistic nursing interventions to promote self-care in the identified areas. Strategies include educational/experiential classes in holistic nursing; individualized unit-based activities fostering stress management, such as massage, reflexology, and imagery; and development of an employee wellness program.

  2. Best practice in clinical facilitation of undergraduate nursing students. (United States)

    Needham, Judith; McMurray, Anne; Shaban, Ramon Z


    Clinical facilitation is critical to successful student clinical experience. The research reported in this paper used an interpretive case study to explore perspectives of clinical facilitators on what constitutes best practice in clinical facilitation of undergraduate nursing students. Eleven clinical facilitators from South East Queensland, Australia, participated in focus groups, interviews and a concept mapping exercise to gather their perspectives on best practice. The data gathered information regarding their prior and current experiences as registered nurses and facilitators, considering reasons they became clinical facilitators, their educational background and self-perceived adequacy of their knowledge for clinical facilitation. Analysis was through constant comparison. Findings of the study provided in-depth insight into the role of clinical facilitators, with best practice conceptualised via three main themes; 'assessing', 'learning to facilitate' and 'facilitating effectively'. While they felt there was some autonomy in the role, the clinical facilitators sought a closer liaison with academic staff and feedback about their performance, in particular their assessment of the students. Key strategies identified for improving best practice included educational support for the clinical facilitators, networking, and mentoring from more experienced clinical facilitators. When implemented, these strategies will help develop the clinical facilitators' skills and ensure quality clinical experiences for undergraduate nursing students.

  3. Recognizing surgical patterns

    NARCIS (Netherlands)

    Bouarfa, L.


    In the Netherlands, each year over 1700 patients die from preventable surgical errors. Numerous initiatives to improve surgical practice have had some impact, but problems persist. Despite the introduction of checklists and protocols, patient safety in surgery remains a continuing challenge. This is

  4. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.


    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  5. Care practices of older people with dementia in the surgical ward: A questionnaire survey

    Directory of Open Access Journals (Sweden)

    Nina Hynninen


    Full Text Available Objectives: The objective of this study was to describe the care practices of nursing staff caring older people with dementia in a surgical ward. Methods: The data were collected from nursing staff (n = 191 working in surgical wards in one district area in Finland during October to November 2015. Data were collected using a structured questionnaire and analyzed statistically. The instrument consists of a total number of 141 items and four dimensions. The dimensions were as follows: background information (12 of items, specific characteristics of older people with dementia in a surgical ward (24 of items, specific characteristics of their care in a surgical ward (66 of items and use of physical restraints and alternative models for use of restraints for people with dementia (39 of items. Results: The questions which measure the nursing staff’s own assessment of care practices when caring for people with dementia in surgical wards were selected: counseling people with dementia, reaction when a surgical patient with dementia displays challenging behavior and use of alternative approach instead of physical restraints. Most commonly the nursing staff pay attention to patient’s state of alertness before counseling older people with dementia. Instead of using restraints, nursing staff gave painkillers for the patient and tried to draw patients’ attention elsewhere. The nursing staff with longer work experience estimate that they can handle the patients’ challenging behavior. They react by doing nothing more often than others. They pretend not to hear, see or notice anything. Conclusion: The findings of this study can be applied in nursing practice and in future studies focusing on the care practices among older people with dementia in acute care environment. The results can be used while developing patient treatments process in surgical ward to meet future needs.

  6. Evaluation of two surveillance methods for surgical site infection

    Directory of Open Access Journals (Sweden)

    M. Haji Abdolbaghi


    Full Text Available Background: Surgical wound infection surveillance is an important facet of hospital infection control processes. There are several surveillance methods for surgical site infections. The objective of this study is to evaluate the accuracy of two different surgical site infection surveillance methods. Methods: In this prospective cross sectional study 3020 undergoing surgey in general surgical wards of Imam Khomeini hospital were included. Surveillance methods consisted of review of medical records for postoperative fever and review of nursing daily note for prescription of antibiotics postoperatively and during patient’s discharge. Review of patient’s history and daily records and interview with patient’s surgeon and the head-nurse of the ward considered as a gold standard for surveillance. Results: The postoperative antibiotic consumption especially when considering its duration is a proper method for surgical wound infection surveillance. Accomplishments of a prospective study with postdischarge follow up until 30 days after surgery is recommended. Conclusion: The result of this study showed that postoperative antibiotic surveillance method specially with consideration of the antibiotic usage duration is a proper method for surgical site infection surveillance in general surgery wards. Accomplishments of a prospective study with post discharge follow up until 30 days after surgery is recommended.

  7. Factors related to teamwork performance and stress of operating room nurses. (United States)

    Sonoda, Yukio; Onozuka, Daisuke; Hagihara, Akihito


    To evaluate operating room nurses' perception of teamwork performance and their level of mental stress and to identify related factors. Little is known about the factors affecting teamwork and the mental stress of surgical nurses, although the performance of the surgical team is essential for patient safety. The questionnaire survey for operation room nurses consisted of simple questions about teamwork performance and mental stress. Multivariate analyses were used to identify factors causing a sense of teamwork performance or mental stress. A large number of surgical nurses had a sense of teamwork performance, but 30-40% of operation room nurses were mentally stressed during surgery. Neither the patient nor the operation factors were related to the sense of teamwork performance in both types of nurses. Among scrub nurses, endoscopic and abdominal surgery, body mass index, blood loss and the American Society of Anesthesiologists physical status class were related to their mental stress. Conversely, circulating nurses were stressed about teamwork performance. The factors related to teamwork performance and mental stress during surgery differed between scrub and circulating nurses. Increased support for operation room nurses is necessary. The increased support leads to safer surgical procedures and better patient outcomes. © 2017 John Wiley & Sons Ltd.

  8. School nursing. (United States)

    Igoe, J B


    School nursing has been in a process of transition since its inception. This role evolution parallels the growing complexity of the health, education, and social needs of America's youth. The workplace within which school nurses practice is equally complicated because health and education administrators often hold differing philosophies of management, and school health programs are ill-defined. Fortunately, there is growing support for an integrated services approach and the development of school health systems with nurses joining an interdisciplinary team rather than continuing to function as "boundary dwellers." The roles of the school nurse as primary care provider, school health coordinator, case manager, and epidemiologist are emerging and replacing outdated nursing functions. As the role of the school nurse shifts and expands, it produces a cascade effect. The role of the school health assistant to aid the nurse surfaces as the next logical step in planning. Numerous model school health programs exist today. The emphasis, and rightfully so, is preventive in nature and should be targeted at the preparation of a new generation of health consumers who are more self-reliant than their predecessors. Unfortunately, all these programs are plagued with financing problems that could be alleviated with the right plan for health care reform, such as an expansion of maternal and child health funds (Title V) to health departments and the introduction of school nursing leadership into the DASH office at the Centers for Disease Control and Prevention, a health education unit largely run by health educators, to reallocate some of these resources to the clinical preventive services needed in schools to reduce health risk behaviors. Finally, total quality management is the next issue on the horizon for this nursing specialty; benchmarking would be the place to start. In summary, systems development in the school health field is now underway, and it will not be easy, but this

  9. Nursing Leadership. (United States)

    Crisp, Carol


    Nurse transformational leaders can serve in academic settings and at local, national, international professional nursing organizations and community-based groups. As a transformational leader, nurses can lead in any workplace. According to a study by Stanley (2012), clinical leaders are not sought for their capacity to outline a vision, but for their values and beliefs on display that are easily recognized in their actions. This encompasses the moral component of transformational leadership. It is the APRNs duty to continue to strive towards a better vision for the well-being of all nurses, patients, and colleagues. Autonomous APRNs are happier, healthier, and better prepared to provide the best patient care to their patients. We should not be happy to sit back and let others fight this fight. APRNs need to be on the frontline, leading the way. This is only an insight that I have gained after many frustrating years of cheering our profession and then being made to feel inferior at the same time. Only nurses, who have that nurturing spirit, would hold back if they felt it might hurt others. Don't back off or hold back! It might hurt those that follow!

  10. Anotações de enfermagem em uma unidade cirúrgica de um hospital escola Apuntes de enfermería en unidad quirúgica de un hospital de enseñanza Nursing reports in a surgical unit at a school hospital

    Directory of Open Access Journals (Sweden)

    Daniele Aparecida Venturini


    Full Text Available Estudo descritivo, que objetivou avaliar a qualidade das anotações de enfermagem de pacientes cirúrgicos de um Hospital escola do Noroeste do Paraná. Utilizou-se a auditoria retrospectiva com base na Sistematização da Assistência de Enfermagem como método de avaliação. Foram avaliados 134 prontuários selecionados aleatoriamente. Os resultados revelaram que apenas os registros referentes às prescrições de enfermagem de pós-operatório, observação de sinais e sintomas e anotações de pós-operatório, puderam ser consideradas completas. As anotações referentes ao aspecto e evolução das lesões cutâneas e as anotações de alta estavam incompletas em 73,9% e 97% dos registros analisados. Estes resultados apontam a necessidade de educação, monitoramento e avaliação contínua dos registros de enfermagem com vistas à melhoria dos mesmos e da assistência prestada.Estudio descriptivo que objetivó evaluar la calidad de los apuntes de enfermería de pacientes quirúrgicos de un Hospital escuela del noreste de Paraná. Se utilizó la auditoría retrospectiva basada en la Sistematización de la Asistencia de Enfermería como método de evaluación. Se avaluaron 134 informes seleccionados al azar. Los resultados revelaron que tan sólo los registros referentes a las prescripciones de enfermería de pos operatorio, observación de señales y síntomas y apuntes de pos operatorio se pudieron considerar completos. Tanto los apuntes relativos al aspecto y evolución de las lesiones cutáneas como los apuntes de alta estaban incompletos en un 73,9% y un 97%, respectivamente, de los registros analizados. Estos resultados ponen en evidencia la necesidad de educación, monitoreo y evaluación continua de los registros de enfermería visando el mejoramiento de éstos y de la asistencia prestada.This descriptive study aimed at evaluating the quality of nursing records of surgical patients at a school hospital in the region of Northwestern

  11. Comprehensive evaluation of occupational radiation exposure to intraoperative and perioperative personnel from {sup 18}F-FDG radioguided surgical procedures

    Energy Technology Data Exchange (ETDEWEB)

    Povoski, Stephen P.; Martin, Edward W. [The Ohio State University, Division of Surgical Oncology, Department of Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute and Comprehensive Cancer Center, Columbus, OH (United States); Sarikaya, Ismet; Hall, Nathan C.; Knopp, Michael V. [The Ohio State University, Division of Nuclear Medicine, Department of Radiology, Columbus, OH (United States); White, William C.; Marsh, Steven G. [The Ohio State University, The Office of Environmental Health and Safety, Columbus, OH (United States); Hinkle, George H. [The Ohio State University, Division of Nuclear Medicine, Department of Radiology, Columbus, OH (United States); The Ohio State University, College of Pharmacy, Columbus, OH (United States)


    The purpose of the current study was to comprehensively evaluate occupational radiation exposure to all intraoperative and perioperative personnel involved in radioguided surgical procedures utilizing {sup 18}F-fluorodeoxyglucose ({sup 18}F-FDG). Radiation exposure to surgeon, anesthetist, scrub technologist, circulating nurse, preoperative nurse, and postoperative nurse, using aluminum oxide dosimeters read by optically stimulated luminescence technology, was evaluated during ten actual radioguided surgical procedures involving administration of {sup 18}F-FDG. Mean patient dosage of {sup 18}F-FDG was 699 {+-} 181 MBq (range 451-984). Mean time from {sup 18}F-FDG injection to initial exposure of personnel to the patient was shortest for the preoperative nurse (75 {+-} 63 min, range 0-182) followed by the circulating nurse, anesthetist, scrub technologist, surgeon, and postoperative nurse. Mean total time of exposure of the personnel to the patient was longest for the anesthetist (250 {+-} 128 min, range 69-492) followed by the circulating nurse, scrub technologist, surgeon, postoperative nurse, and preoperative nurse. Largest deep dose equivalent per case was received by the surgeon (164 {+-} 135 {mu}Sv, range 10-580) followed by the anesthetist, scrub technologist, postoperative nurse, circulating nurse, and preoperative nurse. Largest deep dose equivalent per hour of exposure was received by the preoperative nurse (83 {+-} 134 {mu}Sv/h, range 0-400) followed by the surgeon, anesthetist, postoperative nurse, scrub technologist, and circulating nurse. On a per case basis, occupational radiation exposure to intraoperative and perioperative personnel involved in {sup 18}F-FDG radioguided surgical procedures is relatively small. Development of guidelines for monitoring occupational radiation exposure in {sup 18}F-FDG cases will provide reassurance and afford a safe work environment for such personnel. (orig.)

  12. Nursing Skill Mix, Nurse Staffing Level, and Physical Restraint Use in US Hospitals: a Longitudinal Study. (United States)

    Staggs, Vincent S; Olds, Danielle M; Cramer, Emily; Shorr, Ronald I


    Although it is plausible that nurse staffing is associated with use of physical restraints in hospitals, this has not been well established. This may be due to limitations in previous cross-sectional analyses lacking adequate control for unmeasured differences in patient-level variables among nursing units. To conduct a longitudinal study, with units serving as their own control, examining whether nurse staffing relative to a unit's long-term average is associated with restraint use. We analyzed 17 quarters of longitudinal data using mixed logistic regression, modeling quarterly odds of unit restraint use as a function of quarterly staffing relative to the unit's average staffing across study quarters. 3101 medical, surgical, and medical-surgical units in US hospitals participating in the National Database of Nursing Quality Indicators during 2006-2010. Units had to report at least one quarter with restraint use and one quarter without. We studied two nurse staffing variables: staffing level (total nursing hours per patient day) and nursing skill mix (proportion of nursing hours provided by RNs). Outcomes were any use of restraint, regardless of reason, and use of restraint for fall prevention. Nursing skill mix was inversely correlated with restraint use for fall prevention and for any reason. Compared to average quarters, odds of fall prevention restraint and of any restraint were respectively 16 % (95 % CI: 3-29 %) and 18 % (95 % CI: 8-29 %) higher for quarters with very low skill mix. In this longitudinal study there was a strong negative correlation between nursing skill mix and physical restraint use. Ensuring that skill mix is consistently adequate should reduce use of restraint.

  13. [Feasibility of consultation - liaison psychiatry in a large general hospital: quantitative description of services and personnel expenditure]. (United States)

    Windhager, Elmar; Thaler, Katharina; Selberis-Vahl, Wilia Vasiliki; Friedl-Wörgetter, Petra; Windhager, Isabella; Zauner, Katharina


    The integration of psychiatric departments in general hospitals lead to an increasing demand of psychiatric consultation, which often overstrains personnel resources of short staffed psychiatric services. To provide consulting service, as it is demanded by guidelines, a multidisciplinary consulting team could be a possible solution. A retrospective descriptive analysis of all consultations made by the psychosocial consultation and liaison service at the general hospital Wels-Grieskirchen in the years 2012 and 2013. There was an increase in referrals overall of 22 % from 2012 to 2013. The largest increase was observed in the group of psychiatrists, who carried out 33.1 % of all consultations. Most consultations, 39.5 %, were done by the group of clinical psychologists, partly substituting medical attendance. Taking together both occupational groups, the expected number of consultations of at least 3 % of all admissions could be achieved. A multidisciplinary consulting team consisting of psychiatrists, psychologists, psychosomatic physicians and social workers staffed with 5.11-6.79 full-time personnel is able to provide psychosocial consultation service at a quantitative level required by international guidelines.

  14. [Penal liability from retained foreign body inside the surgical site]. (United States)

    Angiò, L G; Ventura Spagnolo, E; Pirrone, G; Cardia, G


    The Authors focus on the liability of the surgery team members in the case they inadvertently forget behind in the patient's body a foreign object, which causes injuries and/or death. The Authors underline that, according to the current case law regarding medical malpractice, both the main surgeon and their assistant/subordinate are liable for engaging in a markedly imprudent and/or negligent conduct, such as not double-checking scrupulously the surgical site before its closure in order to highlight forgotten foreign bodies. As well, the Authors underline that either the circulator nurse or the theatre nurse can be considered punishable by law when that medical error occurs, even if they are responsible for the count of the instruments used in the course of the surgery. Conversely, the main surgeon and his or her assistant are always directly responsible, due to the fact that the nurses' count procedure represents merely an additional control measure, without substituting at all the check the surgeons must obligatory conduct on the surgical site. Finally, the Authors point out that, as the count procedure is performed by the members of a surgical team, where a hierarchy-based relationship rules, the main surgeon is the liable for any preventable and avoidable adverse event provoked by the nursing staff as a consequence of the objective responsibility due to culpa in eligendo and culpa in vigilando.

  15. Rural nurses

    DEFF Research Database (Denmark)

    Wilson, Rhonda L.; Usher, Kim


    with descriptive techniques. In-depth interviews were conducted and the transcribed data were analysed using thematic techniques. Results: The results of this study demonstrate that in general rural people are willing to seek mental health care, and that rural nurses are well suited to provide initial care...... to young people. Conclusions: Non-traditional venues such as community, school and justice settings are ideal places where more convenient first conversations about mental health with young people and their families, and rural nurses should be deployed to these settings. Relevance to Clinical Practice......: Rural nurses are able to contribute important initial engagement interventions that enhance the early mental health care for young people when it is needed....

  16. Possibilities of creating meaningful encounters in anesthesia nursing

    DEFF Research Database (Denmark)

    Aagaard, Karin

    Anesthesia nursing is performed in a highly technological environment with restricted time for interaction with patients. Patients are in a vulnerable position, which can be characterized by anxiety regarding the anesthetic and surgical procedure. The bedrock of effective nursing care is to facil......Anesthesia nursing is performed in a highly technological environment with restricted time for interaction with patients. Patients are in a vulnerable position, which can be characterized by anxiety regarding the anesthetic and surgical procedure. The bedrock of effective nursing care...... of nursing. In this dissertation, focused ethnography is used to explore the interactions between patients and nurse anesthetists before general anesthesia. Moreover, it will explore the professional identity of nurse anesthetists, in relation to the situation of preparing patients for general anesthesia....... A micro-substantive theory is developed regarding the opportunities for creating meaningful encounters between patients and nurse anesthetists. The theory is based on three dominant motivations for interaction in anesthesia nursing. The context of care is not committed and responsive to the core elements...

  17. Analysis of exfoliated gastric carcinoma cells attached on surgical supplies

    Directory of Open Access Journals (Sweden)

    Yu XF


    Full Text Available Xiao-Fen Yu,1 Ying-Yu Ma,2 Xian-Qin Hu,1 Qin-Fang Zhang,1 Zai-Yuan Ye3 1Operating Theatre, Zhejiang Provincial People’s Hospital, 2Key Laboratory of Gastroenterology of Zhejiang Province, Zhejiang Provincial People’s Hospital, 3Department of Gastrointestinal Surgery, Zhejiang Provincial People’s Hospital, Hangzhou, People’s Republic of China Abstract: Surgery is considered to have a leading role in the treatment of gastric carcinoma. Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells. This study sought to determine the presence of exfoliated tumor cells on surgical supplies at different stages during the surgical procedure. We collected five types of surgical supplies from 90 patients who underwent D2 radical gastrectomy to find out if there was any cancer cells attached to them. Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses. The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies. Dissemination of tumor cells could be prevented by using a number of methods, depending on the type of surgical supply items. Keywords: exfoliated tumor cells, surgical supplies, gastric carcinoma, metastasis, prevention

  18. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis


    Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs....... Three patients with “nurse’s cramp” related to this task are presented. The patients were referred to a department of occupational medicine due to volar forearm and hand pain related to tablet-dosing from blister packs. A detailed physical examination including a neurological assessment was performed...

  19. Evaluation of adherence to measures for the prevention of surgical site infections by the surgical team

    Directory of Open Access Journals (Sweden)

    Adriana Cristina de Oliveira


    Full Text Available AbstractOBJECTIVEEvaluate pre- and intraoperative practices adopted by medical and nursing teams for the prevention of surgical infections.METHODA prospective study carried out in the period of April to May 2013, in a surgical center of a university hospital in Belo Horizonte, Minas Gerais.RESULTS18 surgeries were followed and 214 surgical gloves were analyzed, of which 23 (10.7% had postoperative glove perforation detected, with 52.2% being perceived by users. Hair removal was performed on 27.7% of patients in the operating room, with the use of blades in 80% of the cases. Antibiotic prophylaxis was administered to 81.8% of patients up to 60 minutes prior to surgical incision. An average of nine professionals were present during surgery and the surgery room door remained open in 94.4% of the procedures.CONCLUSIONPartial adhesion to the recommended measures was identified, reaffirming a need for greater attention to these critical steps/actions in order to prevent surgical site infection.

  20. Surgical ethics: surgical virtue and more. (United States)

    Vercler, Christian J


    The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient's own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient-surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients.

  1. Multiscale Surgical Telerobots

    Energy Technology Data Exchange (ETDEWEB)

    Miles, R R; Seward, K P; Benett, W J; Tendick, F; Bentley, L; Stephan, P L


    A project was undertaken to improve robotic surgical tools for telerobotic minimally invasive surgery. The major objectives were to reduce the size of the tools to permit new surgical procedures in confined spaces such as the heart and to improve control of surgical tools by locating positional sensors and actuators at the end effector rather than external to the patient as is currently the state of the technology. A new compact end-effector with wrist-like flexibility was designed. Positional sensors based on MEMS microfabrication techniques were designed.

  2. Transformational Teamwork: Exploring the Impact of Nursing Teamwork on Nurse-Sensitive Quality Indicators. (United States)

    Rahn, Debbie J


    The purpose of this research was to investigate the relationship between nursing teamwork and NDNQI outcomes including pressure ulcers, falls, and catheter-associated urinary tract infections. Correlational analysis resulted in statistically significant relationships. Improving teamwork in medical-surgical acute care units can transform care and impact the occurrence of preventable adverse outcomes.

  3. Utilization of non-US educated nurses in US hospitals: implications for hospital mortality. (United States)

    Neff, Donna Felber; Cimiotti, Jeannie; Sloane, Douglas M; Aiken, Linda H


    To determine whether, and under what circumstance, US hospital employment of non-US-educated nurses is associated with patient outcomes. Observational study of primary data from 2006 to 2007 surveys of hospital nurses in four states (California, Florida, New Jersey and Pennsylvania). The direct and interacting effects of hospital nurse staffing and the percentage of non-US-educated nurses on 30-day surgical patient mortality and failure-to-rescue were estimated before and after controlling for patient and hospital characteristics. Data from registered nurse respondents practicing in 665 hospitals were pooled with patient discharge data from state agencies. Thirty-day surgical patient mortality and failure-to-rescue. The effect of non-US-educated nurses on both mortality and failure-to-rescue is nil in hospitals with lower than average patient to nurse ratios, but pronounced in hospitals with average and poor nurse to patient ratios. In hospitals in which patient-to-nurse ratios are 5:1 or higher, mortality is higher when 25% or more nurses are educated outside of the USA than when nurses are non-US-educated. Moreover, the effect of having >25% non-US-educated nurses becomes increasingly deleterious as patient-to-nurse ratios increase beyond 5:1. Employing non-US-educated nurses has a negative impact on patient mortality except where patient-to-nurse ratios are lower than average. Thus, US hospitals should give priority to achieving adequate nurse staffing levels, and be wary of hiring large percentages of non-US-educated nurses unless patient-to-nurse ratios are low.

  4. Improving Surveillance and Prevention of Surgical Site Infection in Pediatric Cardiac Surgery. (United States)

    Cannon, Melissa; Hersey, Diane; Harrison, Sheilah; Joy, Brian; Naguib, Aymen; Galantowicz, Mark; Simsic, Janet


    Postoperative cardiovascular surgical site infections are preventable events that may lead to increased morbidity, mortality, and health care costs. To improve surgical wound surveillance and reduce the incidence of surgical site infections. An institutional review of surgical site infections led to implementation of 8 surveillance and process measures: appropriate preparation the night before surgery and the day of surgery, use of appropriate preparation solution in the operating room, appropriate timing of preoperative antibiotic administration, placement of a photograph of the surgical site in the patient's chart at discharge, sending a photograph of the surgical site to the patient's primary care physician, 30-day follow-up of the surgical site by an advanced nurse practitioner, and placing a photograph of the surgical site obtained on postoperative day 30 in the patient's chart. Mean overall compliance with the 8 measures from March 2013 through February 2014 was 88%. Infections occurred in 10 of 417 total operative cases (2%) in 2012, in 8 of 437 total operative cases (2%) in 2013, and in 7 of 452 total operative cases (1.5%) in 2014. Institution of the surveillance process has resulted in improved identification of suspected surgical site infections via direct rather than indirect measures, accurate identification of all surgical site infections based on definitions of the National Healthcare Safety Network, collaboration with all persons involved, and enhanced communication with patients' family members and referring physicians. ©2016 American Association of Critical-Care Nurses.

  5. Guide to Surgical Specialists (United States)

    ... have expertise in the following areas of responsibility: neonatal surgery (specialized knowledge in the surgical repair of ... and non-operative management of certain types of pain. Common conditions managed by neurologic surgeons include disorders ...

  6. Surgical Critical Care Initiative (United States)

    Federal Laboratory Consortium — The Surgical Critical Care Initiative (SC2i) is a USU research program established in October 2013 to develop, translate, and validate biology-driven critical care....

  7. Ambulatory Surgical Measures - National (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  8. Ambulatory Surgical Measures - Facility (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  9. Surgical site infections

    African Journals Online (AJOL)

    and mortality as well as significant financial implications. Worldwide it has ... common nosocomial infection amongst surgical patients with up to 38% .... antibiotics as soon as the sensitivity results are available. ... Breast surgery. Staph Aureus/ ...

  10. Níveis de ansiedade de alunos de graduação em enfermagem frente à primeira instrumentação cirúrgica Niveles de ansiedad de los alumnos de pregrado en enfermería delante de la primera instrumentación quirúrgica Nursing undergraduates' anxiety about the first surgical instrumentation

    Directory of Open Access Journals (Sweden)

    Rachel de Carvalho


    ' anxiety about the first surgical instrumentation. The sample consisted of 30 sixth-period students who were enrolled in the subject Surgical Nursing. Data were collected through the STAI (State-Trait Anxiety Inventory. We identified that 90% of the students demonstrated low levels of trait anxiety. As to state anxiety, the most frequent observations were: low anxiety level on the first day of theoretical class (76.7%. medium anxiety level at the lab (53% and medium anxiety level during supervised training (80%. Furthermore, we identified a small number of students with high anxiety levels. The statistical analysis shows significant differences among the mean levels of state-anxiety during the three data collection phases.

  11. 内外科护理学课程整合背景下“理实一体化”教学对教育环境的影响%Inlfuence of theoretical practice all-in-one teaching application on education environment in curriculum integration of medical and surgical nursing

    Institute of Scientific and Technical Information of China (English)

    王兴华; 刘成霞; 李丹


    Objective:To implement theoretical practice all-in-one teaching in curriculum integration of medical and surgical nursing and explore the inlfuence of the implementation on educational environment. Methods:The theoretical practice all-in-one teaching method was designed and implemented through the combination of students' autonomous exploration, group discussion and clinical scene learning under the background of curriculum integration of medical and surgical nursing. From teachers and students investigation, education environments of traditional teaching and theoretical practice all-in-one teaching were evaluated. Results:The education environment of theoretical practice all-in-one teaching got high scores from both the teachers and students (3.15±0.13&3.04±0.33, respectively). There were signiifcant differences between the new teaching method and the traditional one (P<0.01).Conclusions:Theoretical practice all-in-one teaching could be an effective method in this context of curriculum integration. But it still needed deep exploration on mobilization, professional emotional education, communication skills training and so on.%目的:在内外科护理学课程整合背景下实施理论实践一体化(以下简称“理实一体化”)教学并探讨其对教育环境的影响,以期能够促进课程整合教学质量的提高。方法:在内外科护理学课程整合背景下实施“学生自主探究-小组讨论-临床场景学习”的理实一体化教学,从师、生两个角度评价课程整合背景下传统教学与理实一体化教学的教育环境。结果:对理实一体化教学的教育环境总体测量评分,师、生得分分别为(3.15±0.13)分、(3.04±0.33)分,处于很好水平,与传统教学模式比较差异均有统计学意义(P<0.01)。结论:在良好的课程整合大背景下,理实一体化教学为有效可行的教学方法,同时在师生动员、学生职业情感教育及沟通能力锻

  12. Nursing shortages and international nurse migration. (United States)

    Ross, S J; Polsky, D; Sochalski, J


    The United Kingdom and the United States are among several developed countries currently experiencing nursing shortages. While the USA has not yet implemented policies to encourage nurse immigration, nursing shortages will likely result in the growth of foreign nurse immigration to the USA. Understanding the factors that drive the migration of nurses is critical as the USA exerts more pull on the foreign nurse workforce. To predict the international migration of nurses to the UK using widely available data on country characteristics. The Nursing and Midwifery Council serves as the source of data on foreign nurse registrations in the UK between 1998 and 2002. We develop and test a regression model that predicts the number of foreign nurse registrants in the UK based on source country characteristics. We collect country-level data from sources such as the World Bank and the World Health Organization. The shortage of nurses in the UK has been accompanied by massive and disproportionate growth in the number of foreign nurses from poor countries. Low-income, English-speaking countries that engage in high levels of bilateral trade experience greater losses of nurses to the UK. Poor countries seeking economic growth through international trade expose themselves to the emigration of skilled labour. This tendency is currently exacerbated by nursing shortages in developed countries. Countries at risk for nurse emigration should adjust health sector planning to account for expected losses in personnel. Moreover, policy makers in host countries should address the impact of recruitment on source country health service delivery.

  13. 利用SimMan仿真模拟人开展成人护理(外护)理实一体化教学初探%Comprehensive simulation using SimMan General Sims for adult surgical nursing teaching the integration of theory and practice

    Institute of Scientific and Technical Information of China (English)



    Making 51 students to use SimMan General Sims for integration of theory and practice of teaching,and giving the students a questionnaire to survey the evaluation of new teaching methods.Compared with the original teaching method: 92.2% of students think that the new teaching method is more conducive to teamwork;90.2% of students think that the new teaching method is more conducive to the mastery of subject knowledge;94.1% of students think that the new teaching method is more advantageous to clinical seamless.To use SimMan General Sims to make the students to have the lesson of adult surgical nursing is benefit for integration of theory and practice.And this method will help improve students' ability to deal with the clinical problems.%对51名护理专业学生应用SimMan仿真模拟人进行教学,并采用问卷调查形式让学生对新教学模式进行评价。2.2%学生认为新教学模式更有利于培养团队合作精神,90.2%学生认为新教学模式更有利于各学科知识的融会贯通,94.1%学生认为新教学模式更有利于与临床无缝对接。SimMan仿真模拟人进行成人护理(外护)理实一体化教学有利于提高学生临床问题处理能力,但仍需继续改进。

  14. Nurses' burnout and unmet nursing care needs of patients' relatives in a Turkish State Hospital. (United States)

    Tekindal, Benian; Tekindal, Mustafa Agah; Pinar, Gul; Ozturk, Filiz; Alan, Sumeyra


    One of the biggest problems of work life today is burnout. With burnout, satisfaction of clients and service givers reduces. In this study, burnout levels of nurses working in the internal, surgical and intensive care units of a university hospital and the unmet needs of the patients' relatives related to nursing care were investigated. In the study, 225 nurses and 222 relatives of patients constituted the sample group of this study. Three separate forms were used in the study, namely, Nurse and Patient Relative Identification Form, the Maslach Burnout Inventory and the Nursing Services Satisfaction Inventory. In the study, burnout levels of the nurses were found to be high. Conditions like younger ages, scarcity of experience in the profession, lower levels of education, having chosen the profession and the unit they work in not willingly and working in environments like intensive care increase the burnout and as a result, expectations of the relatives of patients from nursing care are not fully met. Some suggestions have been made to make some regulations to prevent the burnout of nurses and to increase the satisfaction of relatives.

  15. Enfermagem médico-cirúrgica: uma nova abordagem de ensino e sua avaliação pelo aluno Enfermería médico-quirúrgica: una nueva abordaje de enseñanza y su avaliación por el alumno Medical-surgical nursing: a new approach to teaching and evaluation by the student

    Directory of Open Access Journals (Sweden)

    Maria do Carmo Lourenço Haddad


    verbal.This issue is about a teaching methodology developed by the Medical-Surgical subject of Nursing on Graduate Course at Universidade Estadual de Londrina. The teachers used the student-centered teaching process based on interpersonal relationship and problem solving method. The aim was to evaluate the last period of nursing students perception about developing of cognitive, affective and psychomotor abilities when compared with others subjects of nursing course since 1985 until 1990. This method of teaching supplied more integration among theory and practice, more ability in developing library search and oral exposition, besides more active student participation on his apprenticeship process.

  16. Nursing faults in the recovery period of surgical patients Las fallas de enfermería en el periodo de recuperación de pacientes quirúrgicos Falhas de enfermagem no pós-operatório imediato de pacientes cirúrgicos

    Directory of Open Access Journals (Sweden)

    Tânia Couto Machado Chianca


    Full Text Available This is a descriptive study based on the theory of human error, in order to analyze and classify nursing errors during the nursing care of surgical patients at recovery. Twenty-five (25 fault reports were collected through a semi-structured interview. Those reports were submitted to 15 nurse experts to evaluate the risk of seriousness; human, equipment and organizational factors involved; members interaction; information and reversibility of the accident. Faults were directly attributed to psychosocial and organizational aspects, equipment and seriousness. A multidimensional scaling test (MDS was applied and a graph was obtained. It showed four groups of faults, due to problems related to sensory-motor, procedure, abstraction and supervision control. In conclusion, the faults were caused by non-defined personnel roles, continuing education deficiency, non-systematic observation, inadequate space and equipment.Estudio descriptivo-exploratorio, fundamentado en la Teoría del Error Humano, con objeto de analizar y clasificar fallas de enfermería durante la atención a pacientes en el postoperatorio inmediato. A través de entrevista semiestructurada, fueron recopilados 25 relatos de fallas, sometidos a la evaluación de 15 enfermeros especialistas con respecto a 7 variables. Estas fueron reducidas a aspectos psicosociales/equipamiento, organizacionales y gravedad mediante el análisis de componentes principales. Fue realizado un teste de escalonamiento multidimensional (MDS, resultando en un gráfico con 4 grupos de fallas. Estos fueron interpretados como siendo al nivel sensorio-motor, de procedimiento, de abstracción y de control de supervisión. Las fallas fueron causadas por indefinición de papel, capacitación deficiente, observación asistemático, inadecuación física y de equipamientos.Estudo descritivo-exploratório, fundamentado na Teoria do Erro Humano, para analisar e classificar falhas de enfermagem durante a assistência a

  17. Perioperative nursing of modified maze procedure using bipolar radiofrequency ablation accompanied with valve replacement for surgical treatment of permanent atrial fibrillation%心脏瓣膜置换术同期双极射频消融治疗永久性心房颤动的围手术期护理

    Institute of Scientific and Technical Information of China (English)

    洪慧; 陈晓玲; 石开虎


    目的 探讨心内直视下同期行改良冲洗式双极射频消融治疗心瓣膜病合并永久性心房颤动的围手术期护理要点.方法 回顾性分析2010年6月至2013年2月心脏瓣膜病合并永久心房颤动55例患者在体外循环下行心瓣膜置换术+改良冲洗式双极射频消融手术的临床资料.55例患者均合并永久性心房颤动,术前给予患者心理护理及健康宣教,术中采用Medtronic Cardioblate 68000冲洗式双极射频消融系统进行消融操作,术后除做好瓣膜置换术后常规护理外,重视心律和心率的监测,心功能的维护,引流的观察,电解质平衡的维持,起搏器的观察,应用胺碘酮的观察及护理,以及健康指导与心理护理.结果 55例手术均顺利完成,术后当天有48例恢复为窦性心律.全组2例出现Ⅲ度房室传导阻滞,安装永久起搏器治疗,全组无心脏穿孔及术后大出血,无手术死亡.平均住院(12.5± 2.1)d,术后平均随访(8.6±3.0)个月,87.3%的患者维持窦性心律,9.1%的患者为房颤心律,3.6%的患者为起搏心律.结论 心内直视下同期改良冲洗式双极射频消融治疗心脏瓣膜病合并永久性心房颤动是一种简易、安全、有效的方法,高质量的围手术期护理是提高手术成功率,降低死亡率的关键.%Objective To summarize the perioperative nursing of modified maze procedure using bipolar radiofrequency ablation accompanied with valve replacement for the surgical treatment of heart valve diseases complicated with permanent atrial fibrillation (AF).Methods A total of 55 patients with permanent AF and heart valves diseases were undergone surgical treatment from June 2010 to February 2013 in the Second Affiliated Hospital of Anhui Medical University.Preoperative psychological care and health education were given to patients.The Medtronic Cardioblate 68000 flush bipolar radiofrequency ablation system was applied to all patients.After valve replacement

  18. The Theory and Practice of Consultation-Liaison (CL Psychiatry in Trinidad and Tobago with Reference to Suicidal Behavior

    Directory of Open Access Journals (Sweden)

    Hari D. Maharajh


    Full Text Available Consultation-Liaison Psychiatry (CL Psychiatry is not a well-established discipline in developing countries. It is a multifaceted area that incorporates clinical, teaching, and research activities both within the hospital and extramurally in community health services. Our purpose was first to define the role of CL Psychiatry, to review essential steps in the process, and to advise on how to set up services. Second, a 1-year retrospective analysis was conducted on all patients referred. A total of 708 persons were referred for psychiatric consultation, of which 41% (291 were referred because of suicidal behavior. Sixty-six percent were female and there was an over-representation of Indo-Trinidadians (67%. Twenty-six percent of all cases of suicidal behavior were diagnosed with clinical depression, 3% were suffering from a psychotic illness (schizophrenia, and 8% (24/291 were under the influence of alcohol. The most vulnerable group was the 25- to 35-year-old age group, accounting for 27% (78/291 of attempters, with the largest number of female attempters. The 36- to 55-year-old males were most likely to attempt suicide (35/99. Ingestion of a toxic substance was the most popular method among all races, genders, and age groups. Of all referrals, 95% originated from medical wards. The most common reason cited for attempts was depressed mood, secondary to a domestic dispute with a family member or significant other. Among Caribbean countries, Trinidad and Tobago has high rates of suicide and suicidal behavior, depression, and alcoholism. CL psychiatrists have a major role to play in the delivery of services to these groups, facilitating the transition of care from admission in the emergency room to discharge and follow-up in the community.

  19. Molecular bioengineering of biomaterials in the 1990s and beyond: a growing liaison of polymers with molecular biology. (United States)

    Hoffman, A S


    An important trend in biomaterials research and development is the synthesis of polymers that combine capabilities of biologic recognition (biomimetic) with special physicochemical properties of the synthetic polymer system. Another important trend in such "molecular bioengineering" is to develop, perhaps via computer-aided molecular design, new artificial biomimetic systems by exact placement of functional groups on rigid polymer backbones, cross-linked structures, or macromolecular assemblies. In this way, biocatalytic functioning or biorecognition similar to enzymes and antibodies can be achieved without the inherent instability often encountered with the native biomolecules or assemblies. Perhaps the most exciting trend in biomaterials research and development is the availability of new biomolecules, e.g., via protein engineering and of hardy cells with specific biofunctions and bioresponses that can be tailored to specific medical or biotechnological needs. The wide variety of ways that such biomolecules and cells can be combined with polymeric biomaterials provides tremendously exciting opportunities for the biomaterials scientists and engineers. In addition to these synthetic approaches, new and exciting analytical tools, such as the scanning tunneling microscope and the atomic force microscope, are permitting study on a molecular scale of individual and small clusters of proteins and other biomolecular assemblies on surfaces. Cell attachments and spreading may also be visualized at various depths within the cell using the confocal laser microscope. Such analytical techniques can lead to important new knowledge about biologic interactions with biomaterials and, therefore, to development of even more biocompatible implants and devices. This paper overviews the present state of polymeric biomaterials and highlights the important and exciting opportunities generated by the liaison of these materials with molecular biology.

  20. The role of the donor liaison officer at PlusLife (Perth Bone and Tissue Bank Inc.), Western Australia. (United States)

    Smythe, Claire; White, Nicola; Winter, Joyleen; Cowie, Anne


    Femoral head donation at the time of hip replacement surgery provides a much needed resource of bone allograft to orthopaedic surgeons. Prior to 2005, potential femoral head donors were identified and consented in the hospital setting on the day of surgery. This resulted in over 40 % of donations failing post operatively suggesting that more effort could be given to pre-operative screening resulting in substantial savings in the cost associated with collection and testing of donors who were subsequently failed. The Donor Liaison role was implemented in 2005 to coordinate a Femoral Head Donation program maximising the number of successful donations through pre-operative screening. This study reviews the effectiveness of pre-operative screening of potential femoral head donors at PlusLife from 2002-2012. A retrospective audit of the database was undertaken 2002-2012 and medical/social reasons for pre-operative and postoperative failures were collated into 4 main categories to enable comparison: malignancy, autoimmune conditions, variant Creutzfeldt Jakob disease risk and general medical/social reasons. The number of femoral heads failed post operatively has decreased significantly from 26 % in 2003 to 6 % in 2012. A cost of $121,000 was expended on femoral heads failed post operatively in 2004, as compared to $20,350 in 2012. Donors excluded due to the 4 main categories (medical/social history) were identified pre-operatively in over 80 % of all cases. Preoperative screening of femoral head donors through a coordinated Femoral Head Donation Program is a safe and cost effective method.

  1. Absenteeism in the nursing team in surgical-clinical units of a philanthropic hospital Ausentismo en el equipo de enfermería de unidades de clínica médico-quirúrgica de un hospital filantrópico Ausências na equipe de enfermagem em unidades de clínica médico-cirúrgica de um hospital filantrópico

    Directory of Open Access Journals (Sweden)

    Danielle Fabiana Cucolo


    Full Text Available OBJECTIVE: Identify the rate of absenteeism in the nursing team in surgical-clinical units of a philanthropic hospital in the interior of the state of São Paulo, and determine the technical safety index for each professional category. METHODS: Data were collected from documents of the Nursing and Personnel Departments, covering the year 2006, using the equations proposed by Gaidzinski. RESULTS: The percentage of planned absences (days off, holidays and vacations corresponded, respectively, to 17%, 3.1% and 9%. Maternity leaves were identified as the main reason for unplanned absences for the nursing workers, followed by medical leaves. The technical safety index varied from 32% to 47% for nurses and from 35% to 40% for nursing auxiliaries and nursing technicians. CONCLUSION: The identification of the safety index for covering absences provides nurses with tools for planning nursing human resources quanti-qualitatively.OBJETIVO: Identificar el porcentaje de ausentismo en el equipo de enfermería que trabaja en unidades de clínica médico-quirúrgica de un hospital filantrópico del interior del Estado de Sao Paulo y determinar el índice de seguridad técnica para cada categoría profesional. MÉTODOS: Los datos fueron recolectados de documentos de los Departamentos de Enfermería y de Personal, referentes al año 2006, haciendo uso de las ecuaciones propuestas por Gaidzinski. RESULTADOS: Los porcentajes de ausencias previstas (descansos, feriados y vacaciones correspondieron, respectivamente, al 17%, 3,1% y 9%. La licencia por maternidad fue identificada como el principal motivo de ausencia no prevista de los trabajadores de enfermería, seguida por la licencia médica. El índice de seguridad técnica presentó una variación del 32% a 47%, para los enfermeros, y del 35% a 40% para los auxiliares y técnicos de enfermería. Conclusión: La identificación del índice de cobertura de ausencias instrumentaliza a los enfermeros en la planificaci

  2. Study Fails to Link ILL Usage Patterns to Liaison Activities. A Review of: Leykam, Andrew. “Exploring Interlibrary Loan Usage Patterns and Liaison Activities: The Experience at a U.S. University.” Interlending & Document Supply 36.4 (2008: 218-24.

    Directory of Open Access Journals (Sweden)

    Scott Marsalis


    Full Text Available Objective - To investigate Interlibrary Loan (ILL usage patterns, and connect them to liaison activities beyond collection development.Design – Pattern analysis of ILL requests.Setting – Library of The College of Staten Island, a mid-size, public university with predominantly undergraduate enrolment.Subjects – 4,875 identifiable requests over a three-year period.Methods – A data set of requests for ILLs of monographs over a period of three years was acquired from OCLC resource sharing statistics. This data was manually reviewed to remove duplicate records of the same request, but not multiple requests for the same item. The data included requestor status, department, publication date and subject classification of requested items.Main Results – Differences in use across user statuses and departments were identified.Conclusion – Usage Patterns can accurately illustrate trends in the borrowing behaviour of patrons, and be used to inform liaison librarians about user needs.

  3. Quel mode de liaison dans les corrélatives isomorphes « » et « autant...autant » ?

    Directory of Open Access Journals (Sweden)

    Roig Audrey


    Full Text Available Le débat sur l’identification du mode de liaison de prédications dans les structures corrélatives isomorphes (CI du type plus…plus et autant…autant a fait couler beaucoup d’encre ces vingt à trente dernières années. La question, semblerait-il, a aujourd’hui trouvé autant de réponses qu’il existe de solutions sensées : ainsi, si la liaison prédicationnelle est de nature subordonnante selon Riegel et alii (2004, Den Dikken (2005 et Stage (2009, elle a plus volontiers trait à la coordination pour Melis (1994, Muller (2008, Grevisse & Goosse (2011 ou Mouret (2013. Ces constructions témoigneraient plutôt de la possibilité de dissocier les composantes sémantique et syntaxique des structures langagières de l’avis d’Allaire (1982 ou Culicover & Jackendoff (1997, 1999, dans la mesure où elles se caractériseraient par la présentation d’une coordination syntaxique doublée d’une subordination sémantique. Ces trois options, contraires mais relayées chacune par une série d’arguments, conduisent notamment Abeillé & Borsley (2006 à admettre la coexistence de deux analyses en français, quand seule l’option de la liaison par subordination doit être retenue pour les CI en anglais. La complexité de trancher la question de l’identification du mode de liaison à l’œuvre dans les CI si l’on s’en tient à une typologie traditionnelle des jonctions prédicationnelles, a déjà été mise en évidence par des auteurs comme Abeillé & Borsley (2006 ou Hadermann et alii (2010, notamment. La résolution du problème de catégorisation des CI dans une appréhension plus classique des modes de liaison (subordination vs coordination reste pourtant possible, selon nous, mais elle suppose la réponse préalable, en amont, à un autre débat qui anime depuis longtemps les syntacticiens, à savoir celui de la définition du système organisant les jonctions prédicationnelles (section 2 : par exemple, qu’est-ce que la

  4. Factors influencing agency nursing and moonlighting among nurses in South Africa

    Directory of Open Access Journals (Sweden)

    Laetitia C. Rispel


    Full Text Available Background: In South Africa, nurses are the largest category of the health care providers. Their optimal performance is critical for the successful implementation of impending health sector reforms. Objective: This paper examines the occurrence of agency nursing, moonlighting, and overtime among nurses in South Africa, and the factors influencing moonlighting. Design: This cross-sectional survey was a one-stage cluster random sample of 80 hospitals in four South African provinces, selected with stratification from the public and private health sectors. On the survey day, all nurses working in critical care, theatre, emergency, maternity, and general medical and surgical wards completed a self-administered questionnaire after giving informed consent. In addition to demographic information, the questionnaire elicited information on the frequency of agency nursing, moonlighting, and overtime, and the nurses’ reasons for doing moonlighting. Survey data were weighted and analysed using STATA version 12. Results: The majority of survey participants (n=3,784 were South African (98.0%, female (92.7%, and employed in government (52.8%. Their mean age was 41.5 years (SD 10.4. The occurrence of moonlighting among nurses in the 12 months preceding the survey was 28.0% [95% CI: 24.2–32.1], the frequency of agency nursing was 37.8% [95% CI: 32.4–43.6], while 56.0% of nurses did overtime [95% CI: 51.4–60.4]. In the multiple logistic regression analysis, predictors of moonlighting were province, sector of primary employment, unit of work, category of nurse, and having children. The odds of moonlighting was 1.51 [95% CI: 1.03–2.21] times higher for private sector nurses than for public nurses, while the odds ratio for auxiliary nurses was 0.61 [95% CI: 0.47–0.79] compared to professional nurses. The odds of moonlighting was 1.49 [95% CI: 1.18–1.89] for nurses with children, compared to those without. Conclusions: Agency nursing, moonlighting, and

  5. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle


    Full Text Available In many ways Singapore still bears evidence of the period of British colonialism and the system of nursing service and nursing education is also still greatly influenced by the British system of nursing.

  6. Child Psychiatric Nursing Option. (United States)

    Koehler, Mary Frances


    Describes a course at the Indiana University School of Nursing which allows senior students in a baccalaureate nursing program to concentrate on emotionally disturbed children in an advanced nursing course. Discusses course philosophy, clinical experiences, and program results. (CT)

  7. 3D Surgical Simulation (United States)

    Cevidanes, Lucia; Tucker, Scott; Styner, Martin; Kim, Hyungmin; Chapuis, Jonas; Reyes, Mauricio; Proffit, William; Turvey, Timothy; Jaskolka, Michael


    This paper discusses the development of methods for computer-aided jaw surgery. Computer-aided jaw surgery allows us to incorporate the high level of precision necessary for transferring virtual plans into the operating room. We also present a complete computer-aided surgery (CAS) system developed in close collaboration with surgeons. Surgery planning and simulation include construction of 3D surface models from Cone-beam CT (CBCT), dynamic cephalometry, semi-automatic mirroring, interactive cutting of bone and bony segment repositioning. A virtual setup can be used to manufacture positioning splints for intra-operative guidance. The system provides further intra-operative assistance with the help of a computer display showing jaw positions and 3D positioning guides updated in real-time during the surgical procedure. The CAS system aids in dealing with complex cases with benefits for the patient, with surgical practice, and for orthodontic finishing. Advanced software tools for diagnosis and treatment planning allow preparation of detailed operative plans, osteotomy repositioning, bone reconstructions, surgical resident training and assessing the difficulties of the surgical procedures prior to the surgery. CAS has the potential to make the elaboration of the surgical plan a more flexible process, increase the level of detail and accuracy of the plan, yield higher operative precision and control, and enhance documentation of cases. Supported by NIDCR DE017727, and DE018962 PMID:20816308

  8. [Tasks performed by nurses at inpatient units in a training hospital]. (United States)

    Costa, Rita de Almeida; Shimizu, Helena Eri


    The purpose of this study was to identify and analyze tasks performed by nurses at inpatient units in a large general hospital in Brasilia, Federal District, which also functions as a training hospital. A quantitative, exploratory, descriptive study was carried out and involved a total of 612 hours of direct observation of the activities performed by 18 nurses at the General Medicine, Surgical, Pediatric and Maternity units. The tasks observed were classified as: administration, nursing care delivery, education and related to information system. Nurses dedicate a large part of their time to administrative tasks, followed by tasks related to nursing care delivery and information system, performing almost no educative tasks.

  9. Job satisfaction of Malaysian registered nurses: a qualitative study. (United States)

    Atefi, Narges; Abdullah, Khatijah L; Wong, Li P


    Job satisfaction is an important factor in health care settings. Strong empirical evidence supports a causal relationship between job satisfaction, patient safety and quality of care. However, there have not been any studies exploring the job satisfaction of Malaysian nurses. The main purpose of this qualitative descriptive study was to explore the factors related to feelings of job satisfaction as well as job dissatisfaction experienced by registered nurses in Malaysia. A convenient sample of 46 Malaysian nurses recruited from a large hospital (number of beds = 895) participated in the study. A total of seven focus group discussions were conducted with nurses from surgical, medical and critical care wards. A semi-structured interview guide was used to facilitate the interviews, which were audio-recorded, transcribed verbatim and checked. The transcripts were used as data and were analysed using a thematic approach. The study identified three main themes that influenced job satisfaction: (1) nurses' personal values and beliefs; (2) work environment factors and (3) motivation factors. Concerning the nurses' personal values and beliefs, the ability to help people made the nurses felt honoured and happy, which indirectly contributed to job satisfaction. For work environment factors, team cohesion, benefit and reward, working conditions play an important role in the nurses' job satisfaction. Motivation factors, namely, professional development and clinical autonomy contributed to job satisfaction. It is important for nurse leaders to provide more rewards, comfortable work environments and to understand issues that affect nurses' job satisfaction. Our findings highlight the importance of factors that can improve nurses' job satisfaction. The study provides basic information for hospital administrators in planning effective and efficient policies to improve nursing job satisfaction in order to increase the quality of patient care and decrease nursing turnover. © 2014

  10. Work environments of different types of nursing subunits. (United States)

    Leatt, P; Schneck, R


    Based upon organizational theory, the purpose of this research was to identify and describe similarities and differences in the work environments of nine different types of nursing subunits (intensive care, medical, surgical, psychiatric, auxiliary, rehabilitation, rural, paediatric and obstetrical) in hospitals. Six measures of nursing subunit environment were developed: these included measures of nursing subunit autonomy, and the complexity and pervasiveness of other medical and hospital groups interacting with the nursing subunit. Data were collected by questionnaire from headnurses in 157 nursing subunits located in 24 hospitals in Alberta, Canada. The results indicated that the types of nursing subunits were similar in their degree of autonomy from both physicians and administration in the larger context in which they were located but were significantly different in terms of number and heterogeneity of groups outside nurses with which they interacted and the extent to which such groups pervaded the subunits. For example, intensive care units appeared as the type of nursing subunit with the greatest need for interaction with physicians, paramedics, hotel services and so on, whereas, psychiatric subunits appeared to be the least dependent on groups outside nursing in the hospital. These findings have implications for the management practices and educational programme for nursing.

  11. Nurses' perceptions and practice of physical restraint in China. (United States)

    Jiang, Hui; Li, Chen; Gu, Yan; He, Yanan


    There is controversy concerning the use of physical restraint. Despite this controversy, some nurses still consider the application of physical restraint unavoidable for some of their clients. Identify the perceptions and practice of physical restraint in China. This was a descriptive study that combined qualitative interviews with a quantitative cross-sectional survey. A total of 18 nurses were interviewed and 330 nurses were surveyed. Approval of the study was obtained from the hospital ethics committee. Permission to conduct the study was obtained from the director of nursing. Participants were assured that their participation is voluntary. Physical restraint was commonly used to protect patients' safety. Naturally, intensive care unit nurses used physical restraint much more frequently than general medical/surgical ward nurses (p < 0.01). In addition, night shift nurses tended to use physical restraint more frequently. Nursing managers should be aware of the role nurses play in the use of physical restraint. In-service training regarding the proper use of physical restraint should be strengthened and nurse staffing levels should be improved in order to minimize the use of physical restraint in China. © The Author(s) 2014.

  12. Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice

    Directory of Open Access Journals (Sweden)

    Mardiyono Mardiyono


    Full Text Available Background: Holistic nursing results in healing the whole person as human being that has interconnectedness of body mind social cultural spiritual aspect.Objective: The purpose of this paper is to examine the effects of Islamic spirituality interventions on health outcomes in nursing.Method: Databases searched for electronic journals and books that were published since 1994 to 2010 were included.Results: Spirituality intervention mainly composes of prayer, recitation of the holy Qur’an, remembrance of Allah, fasting, charity, prophets’ methods, and modified Islamic methods. Thirteen studies found that various outcomes have been highlighted when applied in several areas of nursing, such as stimulating baby’s cognitive ability in maternal nursing, promoting health during eating halal food, fasting, abstinence of alcohol and tobacco consumption, performing regular exercise, reducing anxiety, and pain in medical-surgical nursing. In mental health nursing, six studies explored effects of prayer and religious psychotherapy to enhance happiness and physical health and alleviate anxiety, and depression. Three studies reported Islamic cognitive therapy to alleviate the auditory hallucination, bereavement, and depression. In critical care nursing, three studies employed reciting the holy Qur’an and talqin in end of life care.Conclusion: Although the literature is limited in the amount and quality of spirituality interventions, some evidences have shown as integrative energy in nursing practice to promote health and minimize some symptoms. Spirituality interventions should be performed to acknowledge the high priority in holistic nursing and support interventions.Keywords: spirituality intervention, holistic nursing, Islam

  13. Mock Code: A Code Blue Scenario Requested by and Developed for Registered Nurses (United States)

    Rideout, Janice; Pritchett-Kelly, Sherry; McDonald, Melissa; Mullins-Richards, Paula; Dubrowski, Adam


    The use of simulation in medical training is quickly becoming more common, with applications in emergency, surgical, and nursing education. Recently, registered nurses working in surgical inpatient units requested a mock code simulation to practice skills, improve knowledge, and build self-confidence in a safe and controlled environment. A simulation scenario using a high-fidelity mannequin was developed and will be discussed herein. PMID:28123919

  14. Anxiety in veterinary surgical students

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Eika, Berit; Jensen, Asger Lundorff


    The surgical educational environment is potentially stressful and this can negatively affect students' learning. The aim of this study was to investigate whether veterinary students' level of anxiety is higher in a surgical course than in a non-surgical course and if pre-surgical training...... in a Surgical Skills Lab (SSL) has an anxiety reducing effect. Investigations were carried out as a comparative study and a parallel group study. Potential participants were fourth-year veterinary students who attended a surgical course (Basic Surgical Skills) and a non-surgical course (Clinical Examination...... and 28 students from 2010). Our results show that anxiety levels in veterinary students are significantly higher in a surgical course than in a non-surgical course (p...

  15. Effects of a pain program on nurses' pharmacological pain management.


    Francke, A.L.; Dingemans, W.A.; Borg, P.A.J.; Luiken, J.B.; Grypdonck, M; Huijer-Abu Saad, H.


    Surgical nurses from five Dutch general hospitals participated in a continuing education program on pain assessment and management. Effects of the program were measured in a pretest-post-test control group design, in which nursing wards were randomly allocated to the experimental condition (program,) or to the control condition (no program) It was found that the program led to an improvement of the quality of analgesic administration, and to an increase in the quantity of nonopioids administe...

  16. [Development of an automatic ultrasonic cleaning machine for surgical instruments]. (United States)

    Geng, Shu-qing; He, Wei; Tao, Ren-hai; Ma, Bao-Qiu; Lu, Hai-long; Li, Li-hua; Feng, Hui-zhi; Zheng, Jin-zhi


    The automatic cleaning machine we have developed, adopts a SCM system in automatic cleaning. The machine has five functions: ultrasonic cleaning, cold or hot water spraying, drying and greasing. The clinical applications show that the machine with a good effectiveness is suitable for the cleaning of many surgical instruments. It also raises working efficiency, cuts down on the cost of repair and maintenance and reduces the injury and infection to nurses caused by manual cleaning, satisfying the needs of clinical applications.

  17. Nursing agency: the link between practical nursing science and nursing practice. (United States)

    Banfield, Barbara E


    The relationship of nursing science and nursing practice has been the topic of numerous discussions over the past decades. According to Orem, nursing science is a practical science, meaning that knowledge is developed for the sake of nursing practice. Within Orem's self-care deficit nursing theory, the concept of nursing agency links nursing science and nursing practice. Nursing agency refers to the power or ability of the nurse to design and produce systems of care. The relationship of practical nursing science, nursing practice, and nursing agency is examined in this article. Suggestions for further work related to nursing agency are provided.

  18. Surgical bleeding in microgravity (United States)

    Campbell, M. R.; Billica, R. D.; Johnston, S. L. 3rd


    A surgical procedure performed during space flight would occur in a unique microgravity environment. Several experiments performed during weightlessness in parabolic flight were reviewed to ascertain the behavior of surgical bleeding in microgravity. Simulations of bleeding using dyed fluid and citrated bovine blood, as well as actual arterial and venous bleeding in rabbits, were examined. The high surface tension property of blood promotes the formation of large fluid domes, which have a tendency to adhere to the wound. The use of sponges and suction will be adequate to prevent cabin atmosphere contamination with all bleeding, with the exception of temporary arterial droplet streams. The control of the bleeding with standard surgical techniques should not be difficult.

  19. Surgical management of presbyopia

    Directory of Open Access Journals (Sweden)

    Torricelli AA


    Full Text Available André AM Torricelli, Jackson B Junior, Marcony R Santhiago, Samir J BecharaDivision of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilAbstract: Presbyopia, the gradual loss of accommodation that becomes clinically significant during the fifth decade of life, is a physiologic inevitability. Different technologies are being pursued to achieve surgical correction of this disability; however, a number of limitations have prevented widespread acceptance of surgical presbyopia correction, such as optical and visual distortion, induced corneal ectasia, haze, anisometropy with monovision, regression of effect, decline in uncorrected distance vision, and the inherent risks with invasive techniques, limiting the development of an ideal solution. The correction of the presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. The purpose of this paper is to provide an update about current procedures available for presbyopia correction, their advantages, and disadvantages.Keywords: presbyopia, surgical correction, treatment

  20. Accelerating surgical training and reducing the burden of surgical disease in Haiti before and after the earthquake. (United States)

    DeGennaro, Vincent A; DeGennaro, Vincent A; Kochhar, Amit; Nathan, Nirmal; Low, Christopher; Avashia, Yash J; Thaller, Seth R


    In general, university-based global health initiatives have tended to focus on expanding access to primary care. In the past, surgical programs may have been characterized by sporadic participation with little educational focus. However, there have been some notable exceptions with plastic surgery volunteer missions. We offer another model of regularly scheduled surgical trips to rural Haiti in plastic and general surgery. The goal of these trips is to reduce the burden of surgical disease and ultimately repair every cleft lip/palate in Haiti. Another principal objective is to accelerate the training of American residents through increased case load and personal interaction with attending surgeons in a concentrated period. Diversity of the case load and the overall number of surgeries performed by residents in a typical surgical trip outpaces the experiences available during a typical week in an American hospital setting. More importantly, we continue to provide ongoing training to Haitian nurses and surgeons in surgical techniques and postoperative care. Our postoperative complication rate has been relatively low. Our follow-up rates have been lower than 70% despite intensive attempts to maintain continued communication with our patients. Through our experiences in surgical care in rural Haiti, we were able to quickly ramp up our trauma and orthopedic surgical care immediately after the earthquake. Project Medishare and the University of Miami continue to operate a trauma and acute care hospital in Port au Prince. The hospital provides ongoing orthopedic, trauma, and neurosurgical expertise from the rotating teams of American surgeons and training of Haitian surgeons in modern surgical techniques. We believe that surgical residencies in the United States can improve their training programs and reduce global surgical burden of disease through consistent trips and working closely with country partners.

  1. Scholarship in nursing: Degree-prepared nurses versus diploma-prepared nurses

    Directory of Open Access Journals (Sweden)

    Lizeth Roets


    Conclusion: The global nursing crisis, nor the nursing profession, will benefit by only training more nurses. The profession and the health care sector need more degree prepared nurses to improve scholarship in nursing.

  2. Cancer nursing in Ontario: defining nursing roles. (United States)

    Fitch, Margaret I; Mings, Deborah


    The delivery of cancer care in Ontario is facing unprecedented challenges. Shortages in nursing, as in all professional disciplines, are having an impact on the delivery of cancer care. Oncology nurses have a major role to play in the delivery of optimum cancer care. Oncology nursing, when adequately defined and supported, can benefit the cancer delivery system, patients, and families. A primary nursing model is seen as being key to the delivery of optimum cancer care. Primary nursing as a philosophy facilitates continuity of care, coordination of a patient's care plan, and a meaningful ongoing relationship with the patient and his/her family. Primary nursing, when delivered in the collaboration of a nurse-physician team, allows for medical resources to be used appropriately. Defined roles enable nurses to manage patients within their scope of practice in collaboration with physicians. Enacting other nursing roles, such as nurse practitioners and advanced practice nurses, can also enable the health care system to manage a broader number of patients with more complex needs. This article presents a position paper originally written as the basis for an advocacy and education initiative in Ontario. It is shared in anticipation that the work may be useful to oncology nurses in other jurisdictions in their efforts to advance oncology nursing and improvement of patient care.

  3. Experiential learning not enough for organ procurement surgery: implications for perioperative nursing education. (United States)

    Smith, Zaneta; Leslie, Gavin; Wynaden, Dianne


    Perioperative nurses play a vital role in assisting in surgical procedures for multiorgan procurement, receiving little education apart from on-the-job experiential learning when they are asked to participate in these procedures. Within an Australian context and as part of a larger study, this article describes issues that hindered perioperative nurses' participatory experiences as a result of lacking education, previous exposure, and preparation for assisting in surgical procedures for organ procurement. The grounded theory method was used to develop a substantive theory of perioperative nurses' experiences of participating in surgical procedures for multiorgan procurement. Thirty-five perioperative nurses who had experience in surgical procedures for organ procurement from regional, rural, and metropolitan hospitals of 2 Australian states, New South Wales and Western Australia, participated in the research. Levels of knowledge and experience emerged from the data as an influencing condition and was reported to affect the perioperative nurses' participatory experiences when assisting in procurement surgical procedures. Six components of levels of knowledge and experience were identified and are described. The findings from this study provide a unique contribution to the existing literature by providing an in-depth understanding of the educational needs of perioperative nurses in order to assist successfully in multiorgan procurement procedures. These findings could guide further research with implications for clinical initiatives or education programs specifically targeting the perioperative nursing profession both locally and internationally.

  4. [The role of multi-disciplinary team in the surgical area--at present and in future]. (United States)

    Tomita, Michiko; Sakamoto, Suga


    This article describes four particular tasks of nursing profession and identifies the contribution of nurses within a multi-professional team in the surgical area. The four tasks involve; triage nursing in Emergency Room; allocation of surgical beds; provision of patients' information on a course of surgical treatment prior to hospital admission; and participation in Diagnosis Related Group (DRG). Being responsible for each of these tasks, the nurses play a significant role as mediators between patients and health professionals as well as between the health professionals in order to respond to their patients' needs. This contributes to alleviation of suffering through the diagnosis and surgical treatment, leading to the best ways to recover from major trauma the patients had. In recent years, expanding nursing responsibilities for decision-making in patients' care has been in discussion. However, it is clear that with certain levels of education and practice, nursing profession is able to fill the important roles within the multi-professional team in the surgical area.

  5. Nursing Jobs in Nursing Homes (United States)

    Torpey, Elka Maria


    The need for practical nurses who focus on caring for older people is growing. According to the U.S. Census Bureau, the number of people ages 65 and older is expected to increase from 40 million to 72 million between 2010 and 2030. And the U.S. Bureau of Labor Statistics (BLS) projects that this increasing population will result in job growth for…

  6. Motivational incentives of nurses and nursing leadership

    National Research Council Canada - National Science Library

    Bakola H; Zyga S; Panoutsopoulos G; Alikari V


    ... and maximizing the quality of service. Purpose: The purpose of this paper is to highlight the need for motivating nurses, presenting a realistic framework of incentives as well as the role of nursing leadership in this. Method...

  7. Reducing the risk of surgical site infection using a multidisciplinary approach: an integrative review


    Gillespie BM; Kang E.; Roberts S; Lin F; Morley N; Finigan T; Homer A; Chaboyer W


    Brigid M Gillespie,1 Evelyn Kang,1 Shelley Roberts,1 Frances Lin,1,2 Nicola Morley,3 Tracey Finigan,3 Allison Homer,3 Wendy Chaboyer1 1National Health and Medical Research Council Research Centre for Clinical Excellence in Nursing Interventions (NCREN) and Centre for Healthcare Practice Innovation (HPI), Menzies Health Institute, 2School of Nursing and Midwifery, Griffith University, 3Surgical and Procedural Services, Gold Coast University Hospital, Gold Coast, QLD, Australia Purpose: To iden...


    Directory of Open Access Journals (Sweden)

    Cláudia Silveira Viera


    Full Text Available The systematization of the peroperative nursing occurs in the moments pre, trans and postoperativeand also they happen in children, adolescents, adults and elders. Being like this, ours objective went verify thebenefits of the utilization of the therapeutic toy in the visit preoperative by the nurse of surgical center.

  9. Whistle-blower Walks: Jury Acquits Nurse Who Reported Physician to TMB. (United States)

    Conde, Crystal


    A West Texas jury acquitted a nurse on trial for misuse of official information. She and another nurse had reported a physician to the Texas Medical Board for improperly prescribing herbal medicines that he sold on the side and for performing unauthorized surgical procedures.



    Cláudia Silveira Viera; Marister Piccoli; Silvana Machiavelli Schmitz


    The systematization of the peroperative nursing occurs in the moments pre, trans and postoperativeand also they happen in children, adolescents, adults and elders. Being like this, ours objective went verify thebenefits of the utilization of the therapeutic toy in the visit preoperative by the nurse of surgical center.

  11. District nurses: relationships in nurse prescribing.


    Fisher, Richard


    Although nurse prescribing has been established in the UK for approximately 8 years, little is known about the effect this additional role is having on those who are involved in its processes. This article reports on the early phrases of an ethnographic study which is aiming to discover how prescribing is altering the ways in which district nurses relate to general practitioners, pharmacists, other community nurses, patients and carers during the experience of nurse prescribing. Using qualita...

  12. From Academic-Practice Partnership to Professional Nursing Practice Model. (United States)

    Hudacek, Sharon Smith; DiMattio, Mary Jane K; Turkel, Marian C


    changes in the practice environment that transform the practice of staff nurses working in partnership model clinical units. DISCLOSURE STATEMENT Neither the planners nor the author have any conflicts of interest to disclose. This study used a qualitative descriptive design to examine the role of the expert staff nurse or clinical liaison nurse (CLN) participating in a community-based academic-practice partnership. Little is known about the influence of participation by expert nurses in community hospital settings. Focus groups were conducted with nine CLNs to explicate their experiences in a unit-based leadership practice model. Eight themes were identified: Reciprocal Learning Between Staff Nurses and Students; Reciprocal Learning Between Student and Patient; Working Around the System; Building Relationships; Valuing the CLN Role; Faculty Recognition of CLNs; Transforming Practice; and a variant theme, Recognition That Some Nurses Neither Value nor Enjoy Working With Students. The benefits of developing partnerships in community hospitals can be far reaching and may be of interest to educators and leaders in the profession. When a practice environment focused on evidence and was fueled by student enthusiasm reinvigorates staff nurses, their work world suddenly transforms. J Contin Educ Nurs. 2017;48(3):104-112.

  13. Communal child-rearing: The role of nurses in school health

    Directory of Open Access Journals (Sweden)

    Fhumulani M. Mulaudzi


    Full Text Available Background: Child-rearing remains a concern within our communities, especially because families of today lack primary parents due to multifaceted challenges such as working mothers, diseases and violence. Health-promoting school initiatives are necessary because they allow a multifaceted approach to child-rearing. They further provide a conducive environment for continued schoolchild-rearing moving from home to school. Objectives: This study promotes an integrated approach to school care using the African concept of Ubuntu – solidarity and sense of community – as a point of departure. The socio-ecological model was used, which includes the work of the school healthcare nurse in contributing to holistic health services. Method: An integrative review was conducted in January 2013, which included methodology studies, a theory review and a variety of studies related to school health. The studies were categorised according to school health, Ubuntu and the socio-ecological model. Findings: The role of school healthcare nurses entails acting as a liaison officer between a variety of stakeholders who work together to shape the future of children. Conclusion: Ubuntu, together with the socio-ecological model, can assist us to involve an entire community to raise children. This knowledge serves as a background to the planning of a school health programme. The role of the nurse in school health can also assist in collaborative efforts to formulate the programme and develop the competencies that will inform school health nurse training curricula.

  14. Use of a patient classification instrument as a guide to plan nursing discharge


    Pagliarini,Fernanda Collinetti; Perroca,Marcia Galan


    OBJECTIVE: To evaluate the use of a patient classification instrument as a guide to plan nursing discharge. METHODS: Exploratory descriptive study performed in hospitalization units of Medical and Surgical Practice at a teaching hospital in São José do Rio Preto - SP, Brazil. The sample was made up of 50 patients who received discharge guidance from seven clinical nurses and supervisors. The sample collection occurred in two steps after the record of the discharge guidance, performed by nurse...

  15. Conception of undergraduate nursing students on the practice of health education on first aid


    Marília Rosa de Oliveira; Ana Rita Arrigo Leonel; Juliana Helena Montezeli; Andréia Bendine Gastaldi; Eleine Aparecida Penha Martins; Cristiano Caveião


    Objective: to present the conception of undergraduate nursing students participating in an integrated project on health education on first aid. Methods: qualitative research conducted at the Universidade Estadual de Londrina with five senior nursing students, participating in the project “Nursing in clinical and surgical urgent and emergency care.” We applied semi-structured interviews with content analysis. Results: the following categories emerged: Health education as a facilitator for acad...

  16. [Optimizing surgical hand disinfection]. (United States)

    Kampf, G; Kramer, A; Rotter, M; Widmer, A


    For more than 110 years hands of surgeons have been treated before a surgical procedure in order to reduce the bacterial density. The kind and duration of treatment, however, has changed significantly over time. Recent scientific evidence suggests a few changes with the aim to optimize both the efficacy and the dermal tolerance. Aim of this article is the presentation and discussion of new insights in surgical hand disinfection. A hand wash should be performed before the first disinfection of a day, ideally at least 10 min before the beginning of the disinfection as it has been shown that a 1 min hand wash significantly increases skin hydration for up to 10 min. The application time may be as short as 1.5 min depending on the type of hand rub. Hands and forearms should be kept wet with the hand rub for the recommended application time in any case. A specific rub-in procedure according to EN 12791 has been found to be suitable in order to avoid untreated skin areas. The alcohol-based hand rub should have a proven excellent dermal tolerance in order to ensure appropriate compliance. Considering these elements in clinical practice can have a significant impact to optimize the high quality of surgical hand disinfection for prevention of surgical site infections.

  17. Virtually Nursing: Emerging Technologies in Nursing Education. (United States)

    Foronda, Cynthia L; Alfes, Celeste M; Dev, Parvati; Kleinheksel, A J; Nelson, Douglas A; OʼDonnell, John M; Samosky, Joseph T

    Augmented reality and virtual simulation technologies in nursing education are burgeoning. Preliminary evidence suggests that these innovative pedagogical approaches are effective. The aim of this article is to present 6 newly emerged products and systems that may improve nursing education. Technologies may present opportunities to improve teaching efforts, better engage students, and transform nursing education.

  18. Towards more effective academic liaison between academics, students and practitioners in the field of public administration and management in the North West Province

    Directory of Open Access Journals (Sweden)

    E. Nealer


    Full Text Available In the light of the changing tertiary education arena in South Africa, the Department of Public Management and Governance in the School for Social and Government Studies of the Arts Faculty, North-West University (NWU had to revisit its policy on macro organisational aspects. Issues such as more effective communication mediums, the merging and alignment of the University’s three campuses, the nature of the ever-increasing competition in the tertiary residential and distance teaching environment, the range, variety and quality of its products and the facilitation and rendering of an improved tertiary teaching service were identified. In this article the typical nature of the intra, inter and extra academic liaison regarding the Department at NWU are highlighted and some recommendations on more effective communication and work procedures as a result of academic liaison are presented. Examples being that academics and practitioners need to meet more frequently, upgrade effective communication media among them and undertake joint research in a more cooperative manner.

  19. A study of subject-focused liaison services to its academic constituents under an IC~2 conceptualized program at Shanghai Jiao Tong University Library

    Institute of Scientific and Technical Information of China (English)

    GUO; Jing; CHEN; Jin


    This paper stipulates that the subject-based library liaison service to a university’s teaching and research programs with certain embedded distinctive features should become the mainstream modus operandi of its library service.It takes the innovative service program based on an IC2 conceptualized program at Shanghai Jiao Tong University Library(thereafter abbreviated as SJTUL)as a concrete example to elucidate the merit of such an endeavor.Specifically,this paper discusses the particular development background,overall objectives and service contents of the IC2 motivated program at SJTUL.By presenting a detailed account of some of the key measures,major achievements and also possible future directions of library service development under the guiding principles of SJTUL’s IC2 program,these authors hope that its innovative library practice may serve as a reference for other academic librarians to gain some inspirations for their own parallel service innovations or refinement focused on subject-oriented library liaison service to their constituents and parent institution’s curricula and research projects.

  20. Performance of the Liaison® XL Murex recHTLV-I/II Immunoassay in the Detection of HTLV-1/2 Antibodies in Serum. (United States)

    Gantner, Pierre; Velay, Aurelie; Guigue, Nicolas; Barth, Heidi; Wendling, Marie-Josee; Delaugerre, Constance; Fafi-Kremer, Samira


    Human T-cell lymphotropic virus type 1 and 2 (HTLV-1/2) immunoassays are used for blood screen- ing from blood products, milk, and organ donors. We assessed the performance of the DiaSorin Liaison® XL murex recHTLV-I/II immunoassay relative to the Abbott Architect® rHTLV-I/II immunoassay and with the Innogenetics immunoblot as confirmation. A panel of HTLV positive (n = 66) and negative (n = 30) sera was tested in both techniques within the same freeze/thaw cycle. The specificity and sensitivity of DiaSorin immunoassay were 100% and 78.8%, respectively. Abbott and DiaSorin immunoassays showed a correlation in chemiluminiscent signals to cutoff (S/CO) (Pearson r = 0.92). Half of the samples (34/66) from the seropositive panel were not confirmed by immunoblot (S/CO < 5 in both techniques). Our data confirmed that the DiaSorin Liaison® XL murex recHTLV-I/II immunoassay is an effective platform for HTLV screening. Due to false-positive reaction, especially for samples with low S/CO, each seropositive sample should be confirmed by immunoblot.

  1. A patient-centered approach to nurse orientation. (United States)

    Bumgarner, S D; Biggerstaff, G H


    An orientation pathway was developed using a patient-centered approach. The pathway provides a guide or "road map" for the preceptor and new nurse to care for high-volume patient populations in medical and surgical units. Benefits include application of the nursing process, promotion of critical thinking skills, reduction of reality shock, and improvement in job satisfaction and retention. This article describes the rationale behind the approach and its application to nurse orientation. Steps in the process are described. Staff development educators can use the steps to develop orientation pathways for other practice settings.

  2. Preferred information sources for clinical practice by nurses

    Directory of Open Access Journals (Sweden)

    Figen Çalışkan


    Full Text Available The aim of this study was to determine the knowledge sources that nurses working in inpatient treatment institutions use in their practices. It is inevitable for nurses to base their nursing practices on evidence from knowledge sources in order to improve the quality of nursing care. In this context, it is necessary for the nurses to gain skill in using knowledge sources effectively during their basic education and to further develop this skill after graduation in order provide qualified and safe care. This study utilised descriptive design. The study sample consisted of 296 nurses who work in general training and research hospitals that serve in all regions of Istanbul and are subsidiary to the Ministry of Health. A demographic questionnaire and a Knowledge Source Scale for nurses were used for data collection. Data were analysed with Cruncher Statistical System (NCSS 2007&2008 Statistical Software (Utah USA package programme. The following figures are from the demographic questionnaires: mean age of study participants, 31.69±6.03 years; females, 91.6%; married, 65.2%; bachelor’s degree, 39.9%; worked in surgical units, 56.8%; and worked as clinic nurse, 74.7%. One of the main knowledge sources used in nursing practice is the knowledge acquired in nursing school. Basic nursing education plays an ongoing role as a source of practice knowledge. These knowledge sources should be renewed and updated with continuing education courses or short-term training programs. This research can be used to guide development of continuing education programs and underscores the sources of knowledge about general nursing practice. This study can serve as an impetus to further study the use and highlight education needs of practicing nurses.

  3. [da Vinci surgical system]. (United States)

    Watanabe, Gou; Ishikawa, Norihiro


    The da Vinci surgical system was developed by Intuitive Surgical Inc. in the United States as an endoscopic surgical device to assist remote control surgeries. In 1998, the Da Vinci system was first used for cardiothoracic procedures. Currently a combination of robot-assisted internal thoracic artery harvest together with coronary artery bypass grafting (CABG) through a mini-incision (ThoraCAB) or totally endoscopic procedures including anastomoses under robotic assistance (TECAB) are being conducted for the treatment of coronary artery diseases. With the recent advances in catheter interventions, hybrid procedures combining catheter intervention with ThoraCAB or TECAB are anticipated in the future.On the other hand, with the decrease in number of coronary artery bypass surgeries, the share of valvular surgeries is expected to increase in the future. Among them, mitral valvuloplasty for mitral regurgitation is anticipated to be conducted mainly by low-invasive procedures, represented by minimally invasive cardiac surgery( MICS) and robot-assisted surgery. Apart from the intrinsic good surgical view, robotic-assisted systems offer additional advantages of the availability of an amplified view and the easy to observe the mitral valve in the physiological position. Thus, robotic surgical surgeries that make complicated procedures easier are expected to accomplish further developments in the future. Furthermore, while the number of surgeries for atrial septal defects has decreased dramatically following the widespread use of Amplatzer septal occluder, robotic surgery may become a good indication for cases in which the Amplatzer device is not indicated. In Japan, clinical trial of the da Vinci robotic system for heart surgeries has been completed. Statutory approval of the da Vinci system for mitral regurgitation and atrial septal defects is anticipated in the next few years.

  4. Cardiovascular nursing in Israel. (United States)

    Blaer, Yosef; Rosenberg, Orit; Reisin, Leonardo


    Cardiovascular (CV) nursing as an entity in Israel dates back to 1952, when the nurses in Tel-Hashomer hospital took care of postoperative heart surgery patients. The first intensive cardiac care units (ICCUs) were established in 1971. In 1982, the first ICCU course was established in Tel-Hashomer hospital nursing school. Today, most of the nursing staff in Israels ICCUs are graduates of ICCU courses. The nurses professional society, the Society for Nursing of Israel, was established in 1947. In 1989 the Society for Advancement of Cardiac Nursing in Israel (SACN) was established. The main goals of the society were: the exchange of CV nursing knowledge, CV nursing research, CV nursing education in nursing schools, education of nurses in other departments in the care of the cardiac patient, and CV nursing education in the community. The CV nurse takes a large role in the total care of the cardiac patient, which includes rehabilitation within the hospital and in the ambulatory setting and coordination of nursing in national and international multicenter clinical trials. In collaboration with the Ministry of Health Nursing Division, Israeli CV nurses participate in national and international projects to: develop and upgrade nursing education; train new CV nurses; develop, review, and revise nursing protocols and guidelines; and establish new, more advanced ICCUs in underdeveloped areas within Israel and around the world. Our vision for the future development of CV nursing in Israel includes coordination and management roles in the hospital setting, and the establishment and management of home-care programs. Copyright 2003 CHF, Inc.

  5. Nurse reported quality of care: a measure of hospital quality. (United States)

    McHugh, Matthew D; Stimpfel, Amy Witkoski


    As the primary providers of round-the-clock bedside care, nurses are well positioned to report on hospital quality of care. Researchers have not examined how nurses' reports of quality correspond with standard process or outcomes measures of quality. We assess the validity of evaluating hospital quality by aggregating hospital nurses' responses to a single item that asks them to report on quality of care. We found that a 10% increment in the proportion of nurses reporting excellent quality of care was associated with lower odds of mortality and failure to rescue; greater patient satisfaction; and higher composite process of care scores for acute myocardial infarction, pneumonia, and surgical patients. Nurse reported quality of care is a useful indicator of hospital performance. Copyright © 2012 Wiley Periodicals, Inc.

  6. Reducing risk for ventilator associated pneumonia through nursing sensitive interventions. (United States)

    Micik, Svatka; Besic, Nihada; Johnson, Natalie; Han, Matilda; Hamlyn, Stephen; Ball, Hayley


    The purpose of this paper is to describe an improvement initiative designed to implement nurse sensitive interventions known to reduce patients' risk for ventilator associated pneumonia (VAP), in cardiothoracic intensive care patients. This initiative is a part of one Australian critical care unit's efforts to identify and measure compliance with key nursing interventions known to improve cardiac surgical patients' outcomes. The premise behind the initiative is that improved nursing process and surveillance systems allow emerging trends to catalyse action and motivate nurses to reduce patients' risk for infection acquisition. At five and nine months following implementation of the initiative a>70% compliance rate in 11 out of the 15 nurse sensitive interventions known to reduce patients' risks for VAP and a drop in VAP incidence from 13.4% to 7.69% from per 1000 ventilator days was accomplished.

  7. [Study of tasks performed by nurses in a teaching hospital]. (United States)

    Costa, Rita de Almeida; Shimizu, Helena Eri


    The purpose of this study was to analyze tasks performed by nurses at hospitalization units (maternity, general medicine, surgical and pediatric) in a training hospital in order to better know which factors make it difficult to outline their role as well as the meaning of their actions. It's a descriptive-type qualitative research. Twenty nurses were interviewed following a half-structured script. Nurses perceive that they perform help-providing tasks more frequently, followed by administrative tasks, dealing with the information system and educational tasks. The lack of skilled human resources, essentially nurses, infrastructure, valorization of nursing care and its workers, work organization and integration among members of the multi-disciplinary staff were identified as work-hampering factors.

  8. Interprofessional communication between surgery trainees and nurses in the inpatient wards: Why time and space matter. (United States)

    Fernando, Oshan; Coburn, Natalie G; Nathens, Avery B; Hallet, Julie; Ahmed, Najma; Conn, Lesley Gotlib


    Optimal interprofessional communication (IPC) is broadly viewed as a prerequisite to providing quality patient care. In this study, we explored the enablers and barriers to IPC between surgical trainees and ward nurses with a view towards improving IPC and the quality of surgical patient care. We conducted an ethnography in two academic centres in Canada totalling 126 hours of observations and 32 semi-structured interviews with trainees and nurses. Our findings revealed constraints on IPC between trainees and nurses derived from contested meanings of space and time. Trainees experienced the contested spatial boundaries of the surgical ward when they perceived nurses to project a sense of territoriality. Nurses expressed difficulty getting trainees to respond and attend to pages from the ward, and to have a poor understanding of the nurses' role. Contestations over time spent in training and patient care were found in trainee-nurse interactions, wherein trainees perceived seasoned nurses to devalue their clinical knowledge on the ward. Nurses viewed the limited time that trainees spent in clinical rotation in the ward as adversely affecting communication. This study underscores that challenges to enhancing IPC at academic health centres are rooted in team and professional cultures. Efforts to improve IPC should therefore: identify and target the social and cultural dimensions of healthcare team member relations; recognise how power is deployed and experienced in ways that negatively impact IPC; and enhance an understanding and appreciation in the temporal and spatial dimensions of IPC.

  9. Paths to nursing leadership. (United States)

    Bondas, Terese


    The aim was to explore why nurses enter nursing leadership and apply for a management position in health care. The study is part of a research programme in nursing leadership and evidence-based care. Nursing has not invested enough in the development of nursing leadership for the development of patient care. There is scarce research on nurses' motives and reasons for committing themselves to a career in nursing leadership. A strategic sample of 68 Finnish nurse leaders completed a semistructured questionnaire. Analytic induction was applied in an attempt to generate a theory. A theory, Paths to Nursing Leadership, is proposed for further research. Four different paths were found according to variations between the nurse leaders' education, primary commitment and situational factors. They are called the Path of Ideals, the Path of Chance, the Career Path and the Temporary Path. Situational factors and role models of good but also bad nursing leadership besides motivational and educational factors have played a significant role when Finnish nurses have entered nursing leadership. The educational requirements for nurse leaders and recruitment to nursing management positions need serious attention in order to develop a competent nursing leadership.

  10. District nurse training


    Elliott, Arnold; Freeling, Paul; Owen, John


    Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.

  11. [Correlation Between Nursing Work Environment and Nurse Burnout, Job Satisfaction, and Turnover Intention in the Western Region of Mainland China]. (United States)

    Chen, Yu-Meng; Fang, Jin-Bo


    Nurse burnout and low job satisfaction are main reasons that cause nurses to leave their current position. Improving the nursing work environment may reduce the severity of job burnout and of job dissatisfaction and thus decrease the turnover intention of nursing staff. The aim of this study was to explore the correlation between the nursing work environment and the outcome variables of burnout, job satisfaction, and turnover intention in the western region of Mainland China. This is a cross-sectional descriptive study. Survey data were collected between February and December 2012 from 1,112 clinical nurses working at 83 medical, surgical, and intensive care units in 20 hospitals across the western region of Mainland China. Multistage sampling was conducted on some of the participants. The research instruments that were used included the Practice Environment Scale of the Nursing Work Index, Maslach Burnout Inventory, Nurse Job Satisfaction Scale, and the self-developed basic information and turnover intention questionnaire. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 19.0. The level of statistical significance was set at pjob satisfaction than their peers in self-reported "poor" work environments. The odds ratio (OR) values were 0.64 (EE), 0.66 (DP), 0.57 (PA), 0.19, and 2.26. The results of the present study support that the nursing work environment affects nurse burnout, job satisfaction, and turnover intention. Therefore, nursing managers should work to improve nursing work environments in order to reduce the turnover intent among their nursing staff.

  12. Medicare Payment: Surgical Dressings and Topical Wound Care Products. (United States)

    Schaum, Kathleen D


    Medicare patients' access to surgical dressings and topical wound care products is greatly influenced by the Medicare payment system that exists in each site of care. Qualified healthcare professionals should consider these payment systems, as well as the medical necessity for surgical dressings and topical wound care products. Scientists and manufacturers should also consider these payment systems, in addition to the Food and Drug Administration requirements for clearance or approval, when they are developing new surgical dressings and topical wound care products. Due to the importance of the Medicare payment systems, this article reviews the Medicare payment systems in acute care hospitals, long-term acute care hospitals, skilled nursing facilities, home health agencies, durable medical equipment suppliers, hospital-based outpatient wound care departments, and qualified healthcare professional offices.

  13. The surgical ensemble: choreography as a simulation and training tool. (United States)

    Satava, Richard M; Hunter, Anne Marie


    Team training and interprofessional training have recently emerged as critical new simulations that enhance performance by coordinating communication, leadership, professional, and, to a certain extent, technical skills. In describing these new training tools, the term choreography has been loosely used, but no critical appraisal of the role of the science of choreography has been applied to a surgical procedure. By analogy, the surgical team, including anesthetists, surgeons, nurses, and technicians, constitutes a complete ensemble, whose physical actions and interactions constitute the "performance of surgery." There are very specific "elements" (tools) that are basic to choreography, such as space, timing, rhythm, energy, cues, transitions, and especially rehearsal. This review explores whether such a metaphor is appropriate and the possibility of applying the science of choreography to the surgical team in the operating theater.

  14. Personality predictors of surgical specialties choice among students of nursing

    National Research Council Canada - National Science Library

    Dorota Turska; Michał Skrzypek; Irena Wrońska; Teresa B. Kulik


    Background Holland’s theory of congruence, according to which one’s career choice is an expression of personality traits common to a given profession, constitutes a theoretical background for this research...

  15. Nursing Care Management: Influence on Bundled Payments. (United States)

    Lentz, Shaynie; Luther, Brenda

    Fragmented and uncoordinated care is the third highest driver of U.S. healthcare costs. Although less than 10% of patients experience uncoordinated care, these patients represent 36% of total healthcare costs; care management interaction makes a significant impact on the utilization of healthcare dollars. A literature search was conducted to construct a model of care coordination for elective surgical procedures by collecting best practices for acute, transitions, and post-acute care periods. A case study was used to demonstrate the model developed. Care management defines care coordination as a model of care to address improving patient and caregiver engagement, communication across settings of care, and ultimately improved patient outcomes of care. Nurse-led care coordination in the presurgical, inpatient, and post-acute care settings requires systems change and administrative support to effectively meet the goals of the Affordable Care Act of reducing redundancy and costs while improving the patient experience. Nursing is the lynchpin of care management processes in all settings of care; thus, this model of care coordination for elective surgical admissions can provide nursing care management leaders a comprehensive view of coordinating care for these patient across settings of care during the predetermined time period of care. As bundled payment structures increasingly affect hospital systems, nursing leaders need to be ready to create or improve their care management processes; care coordination is one such process requiring immediate attention.

  16. Nurse Value-Added and Patient Outcomes in Acute Care (United States)

    Yakusheva, Olga; Lindrooth, Richard; Weiss, Marianne


    Objective The aims of the study were to (1) estimate the relative nurse effectiveness, or individual nurse value-added (NVA), to patients’ clinical condition change during hospitalization; (2) examine nurse characteristics contributing to NVA; and (3) estimate the contribution of value-added nursing care to patient outcomes. Data Sources/Study Setting Electronic data on 1,203 staff nurses matched with 7,318 adult medical–surgical patients discharged between July 1, 2011 and December 31, 2011 from an urban Magnet-designated, 854-bed teaching hospital. Study Design Retrospective observational longitudinal analysis using a covariate-adjustment value-added model with nurse fixed effects. Data Collection/Extraction Methods Data were extracted from the study hospital's electronic patient records and human resources databases. Principal Findings Nurse effects were jointly significant and explained 7.9 percent of variance in patient clinical condition change during hospitalization. NVA was positively associated with having a baccalaureate degree or higher (0.55, p = .04) and expertise level (0.66, p = .03). NVA contributed to patient outcomes of shorter length of stay and lower costs. Conclusions Nurses differ in their value-added to patient outcomes. The ability to measure individual nurse relative value-added opens the possibility for development of performance metrics, performance-based rankings, and merit-based salary schemes to improve patient outcomes and reduce costs. PMID:25256089

  17. [Introduction to nursing aesthetics]. (United States)

    Chen, Chen-Jung; Tsai, Chuan-Hsiu; Chen, Yi-Chang


    Empirical, aesthetic, ethical, and personal knowing are the four fundamental patterns of knowledge inquiry. Of these, the aesthetic knowing pattern is least discussed in nursing literature. This article discusses the definition of nursing aesthetics; its utilization in practice; and correlations between aesthetics and clinical practice. One of the advantages inherent to nursing is its ability to deliver skillful care directly to patients. Skillful performance is essential to reduce discrepancies between goals and patterns. Aesthetic nursing addresses more than the form of nursing. It further addresses the crucial elements of nursing knowledge. The science of nursing is influential in its ability to attain harmony among abundant empiric content, power of beneficence, and pleasure of aesthetic experience. In clinical practice, nurses can employ aesthetic nursing through various channels to create meaning and promote the professional image of nurses. Concepts listed in this article may be utilized in clinical supervision, practice and education.

  18. Advanced urology nursing practice. (United States)

    Crowe, Helen


    Urology nursing has developed as a specialty over the past few decades in response to several factors, workload demands being a prime reason. Nurses are taking on additional roles and activities including procedures such as cystoscopy and prostate biopsy, and running nurse-led clinics for a variety of urological conditions. Audits of advanced urological nursing practice have shown this care to be of a high standard and investigative procedures performed by these nurses match the diagnostic quality of existing services. Professional urological nursing organizations support the professional needs of these nurses, but the provision of education and training for advanced practice activities remains an unaddressed need. A range of confusing advanced urology nursing titles exists, and uncertainty regarding the roles and scope of practice for these nurses remains a concern. Acceptance and support from medical colleagues is required for the success of advanced urological nursing practice, but opinions on these roles remain divided.

  19. District nurses prescribing as nurse independent prescribers. (United States)

    Downer, Frances; Shepherd, Chew Kim


    Nurse prescribing has been established in the UK since 1994, however, limited focus has been placed on the experiences of district nurses adopting this additional role. This phenomenological study explores the experiences of district nurses prescribing as nurse independent prescribers across the West of Scotland. A qualitative Heideggarian approach examined the every-day experiences of independent prescribing among district nurses. A purposive sample was used and data collected using audio taped one-to-one informal interviews. The data was analysed thematically using Colaizzi's seven procedural steps. Overall these nurses reported that nurse prescribing was a predominantly positive experience. Participants identified improvements in patient care, job satisfaction, level of autonomy and role development. However, some of the participants indicated that issues such as support, record keeping, confidence and ongoing education are all major influences on prescribing practices.

  20. Implementing lean in a surgical ward

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Jacobsen, Peter

    Using the well-known principles from lean management in an orthopedic surgical ward at a major Danish hospital reorganized their work-flow and processes. The ward has ten operating rooms and performs the complete range of the orthopedic procedures ranging from patients that need simple standard...... for productivity improvement. Lean management has its origins in industrial production, but it is now being transferred to many other sectors, e.g., health care. Two important prerequisites exist for implementing lean management: Firstly, stable and standardized processes and secondly leveling of production...... be planned in advance and meet the prerequisites for lean management. Two of ten operating rooms have been allocated to this flow. Selected surgeons, nurses and porters have been allocated to the two operating rooms and they remain in the sterile environment for the duration of the workday. The effect...

  1. Liaison Officer Toolkit (United States)


    capability including general, orthopedic , thoracic, urological, gynecological, and oral maxillofacial, based on 6 operating room tables staffed for 96...beds • 45 ward/holding beds • Blood bank capacity of 400 frozen blood units • FFP and walking blood bank • Full dental facilities • Orthopedics ...activated in the event of a disaster. The teams are comprised of individuals with diverse expertise to include veterinarians , animal health technicians

  2. Exploiting the Lichen Liaison. (United States)

    Raham, R. Gary


    For teachers in search of an easily obtainable, readily dissectable, and unique living specimen to arouse the interest of their students and illustrate important biological principles, lichens are the perfect selection. Background information and experiments on lichen anatomy, physiology, and chemistry are given. An appendix gives culture media.…

  3. Learning Experience of Student Nurses through Reflection on Clinical Practice: A Case Study in Pediatric Nursing, Southern Thailand

    Directory of Open Access Journals (Sweden)



    Full Text Available This article aims to describe student nurse experiences of clinical practice through their reflections. Forty reflections on clinical practice in a pediatric department were conducted at a tertiary hospital. Student nurses wrote reflections which were then thematically analyzed. Analysis was founded on the following: First, situations of nursing care in medical and surgical pediatrics; Second, clinical practice with nursing care as procedurals; Third, results after student’s activities; and Fourth, reflections of students presented as “what?”, “now what?”, and “new actions?” Particularly, reflections of student nurses were classed into 7 themes; 1 “Significant knowledge for nursing practice”, 2“Better self-confidence for nursing practices”, 3“Patient and family centers”, 4 “Concentration/attention must come first”, 5 “Practice carefully”, 6 “Make students have accountability, honesty, and ethics” and 7 “Mirror for improving intervention in the future as professional nurses”. Overall, student nurses had an improved learning experience in pediatric nursing care through reflection on clinical practice.

  4. Evolution of robotics in surgery and implementing a perioperative robotics nurse specialist role. (United States)

    Francis, Paula


    Use of robotics is expanding rapidly in the medical arena. Not only are a growing number of facilities purchasing robotic systems, but the number of surgeons using them also is increasing, which creates many challenges (eg, cost, training, safety). The evolution of robotics in surgery is presented within the context of virtual reality, telepresence, telemanipulation, and passive (ie, master-slave) robotic surgical systems. A new perioperative nursing role, the robotics nurse specialist, was developed and implemented at one facility. The need for a robotics nurse specialist and how this role can help the entire surgical team promote positive patient and facility outcomes also is discussed.

  5. Vitiligo- A surgical approach

    Directory of Open Access Journals (Sweden)

    Deepti Ghia


    Full Text Available Aims and objective- To describe the spectrum of surgical modalities for stable vitiligo patients Methods- Patients having stable vitiligo since past 2 years with no improvement with medical line of treatment were enrolled for surgery after informed consent. Depending upon the size and location of vitiligo patch different modalities were performed. Suction blister, mini-punch grafting, split thickness skin grafting, trypsinised melanocyte-keratinocyte transfer and non-trypsinised melanocyte- keratinocyte transfer (Jodhpur technique and follicular grafting technique have been described photographically which have been performed at a tertiary care hospital. Conclusion- Vitiligo is often difficult to treat, stable patches resistant to medical line of management do respond to surgical treatment; however it is very important to choose the modality of surgery according location of the patch, size of the lesion and available resources.

  6. Spacecraft surgical scrub system (United States)

    Abbate, M.


    Ease of handling and control in zero gravity and minimizing the quantity of water required were prime considerations. The program tasks include the selection of biocidal agent from among the variety used for surgical scrub, formulation of a dispensing system, test, and delivery of flight dispensers. The choice of an iodophore was based on effectiveness on single applications, general familiarity among surgeons, and previous qualification for space use. The delivery system was a choice between the squeeze foamer system and impregnated polyurethane foam pads. The impregnated foam pad was recommended because it is a simpler system since the squeeze foamer requires some applicator to effectively clean the skin surfaces, whereas the form pad is the applicator and agent combined. Testing demonstrated that both systems are effective for use as surgical scrubs.

  7. Gossypiboma—Retained Surgical Sponge

    Directory of Open Access Journals (Sweden)

    Hung-Shun Sun


    Full Text Available Intra-abdominal retained surgical sponge is an uncommon surgical error. Herein, we report a 92-year-old woman who was brought to the emergency room for acute urinary retention. She had a history of vaginal hysterectomy for uterine prolapse 18 years previously, performed at our hospital. Retained surgical sponge in the pelvic cavity was suspected by abdominal computed tomography. The surgical gauze was removed by laparotomy excision and the final diagnosis was gossypiboma.

  8. Hepatic surgical anatomy. (United States)

    Skandalakis, John E; Skandalakis, Lee J; Skandalakis, Panajiotis N; Mirilas, Petros


    The liver, the largest organ in the body, has been misunderstood at nearly all levels of organization, and there is a tendency to ignore details that do not fit the preconception. A complete presentation of the surgical anatomy of the liver includes the study of hepatic surfaces, margins, and fissures; the various classifications of lobes and segments; and the vasculature and lymphatics. A brief overview of the intrahepatic biliary tract is also presented.

  9. Louis Pasteur surgical revolution. (United States)

    Toledo-Pereyra, Luis H


    Louis Pasteur (1822-1895) is considered the most notable medical scientist of his time and perhaps one of the most distinguished of all times in the history of medicine. From Dole in France to Paris, from a student of crystals to "living ferments," and from chemistry to biology and medicine, Pasteur changed the world for the benefit of humanity. The genius of Pasteur dealt with the most pressing issues of his time, basing the germ theory on the effects that microorganisms had on fermentation and putrefaction of organic matter, which gave birth to the science of bacteriology. Many other difficult problems in medicine and biology were tackled by Pasteur, culminating in the spectacular results seen with the treatment of rabies. Surgery was no exception to the scientific conquests of Pasteur. The transformation of the surgical world arose from the antiseptic concepts of Lister that were based on the germ theory of the disease, which had been derived from the germ theory of fermentation and putrefaction discovered by Pasteur. The acceptance of these principles represented the surgical revolution brought on by the science of Pasteur, a revolution that is now accepted in our daily care of surgical patients.

  10. Guideline implementation: Surgical attire. (United States)

    Cowperthwaite, Liz; Holm, Rebecca L


    Surgical attire helps protect patients from microorganisms that may be shed from the hair and skin of perioperative personnel. The updated AORN "Guideline for surgical attire" provides guidance on scrub attire, shoes, head coverings, and masks worn in the semirestricted and restricted areas of the perioperative setting, as well as how to handle personal items (eg, jewelry, backpacks, cell phones) that may be taken into the perioperative suite. This article focuses on key points of the guideline to help perioperative personnel adhere to facility policies and regulatory requirements for attire. The key points address the potential benefits of wearing scrub attire made of antimicrobial fabric, covering the arms when in the restricted area of the surgical suite, removing or confining jewelry when wearing scrub attire, disinfecting personal items that will be taken into the perioperative suite, and sending reusable attire to a health care-accredited laundry facility after use. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  11. Surgical navigation with QR codes

    Directory of Open Access Journals (Sweden)

    Katanacho Manuel


    Full Text Available The presented work is an alternative to established measurement systems in surgical navigation. The system is based on camera based tracking of QR code markers. The application uses a single video camera, integrated in a surgical lamp, that captures the QR markers attached to surgical instruments and to the patient.

  12. Transformation of admission interview to documentation for nursing practice. (United States)

    Højskov, Ida E; Glasdam, Stinne


    The admission interview is usually the first structured meeting between patient and nurse. The interview serves as the basis for personalised nursing and care planning and is the starting point for the clinic's documentation of the patient and his course of treatment. In this way, admission interviews constitute a basis for reporting by each nurse on the patient to nursing colleagues. This study examined how, by means of the admission interview, nurses constructed written documentation of the patient and his course of treatment for use by fellow nurses. A qualitative case study inspired by Ricoeur was conducted and consisted of five taped admission interviews, along with the written patient documentation subsequently worked out by the nurse. The findings were presented in four constructed themes: Admission interviews are the nurse's room rather than the patient's; Information on a surgical object; The insignificant but necessary contact; and Abnormalities must be medicated. It is shown how the nurse's documentation was based on the admission interview, the medical record details on the patient (facts that are essential to know in relation to disease and treatment), as well as the nurse's preconception of how to live a good life, with or without disease. Often, the patient tended to become an object in the nurse's report. It is concluded that in practice, the applied documentation system, VIPS, comes to act as the framework for what is important to the nurse to document rather than a tool that enables her to document what is important to the individual patient and his special circumstances and encounter with the health system. © 2013 Nordic College of Caring Science.

  13. Debridement for surgical wounds. (United States)

    Dryburgh, Nancy; Smith, Fiona; Donaldson, Jayne; Mitchell, Melloney


    Surgical wounds that become infected are often debrided because clinicians believe that removal of this necrotic or infected tissue will expedite wound healing. There are numerous methods available but no consensus on which one is most effective for surgical wounds. The aim of this review is to determine the effect of different methods of debridement on the rate of debridement and healing of surgical wounds. We developed a search strategy to search the following electronic databases: Wounds Group Specialised Trials Register (searched 3/3/08) , Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2008, issue 1), MEDLINE (1950 to February Week 3 2008 ), EMBASE (1980 to 2008 Week 09) and CINHAL (1982 to February Week 4 2008). We checked the citations within obtained studies to identify additional papers and also relevant conference proceedings. We contacted manufactures of wound debridement agents to ascertain the existence of published, unpublished and ongoing trials. Our search was not limited by language or publication status. We included relevant randomised controlled trials (RCT) with outcomes including at least one of the following: time to complete debridement, or time to complete healing. Two authors independently reviewed the abstracts and titles obtained from the search, two extracted data independently using a standardised extraction sheet, and two independently assessed methodological quality. One author was involved in all stages of the data collection and extraction process, thus ensuring continuity. Five RCTs were eligible for inclusion; all compared treatments for infected surgical wounds and reported time required to achieve a clean wound bed (complete debridement). One trial compared an enzymatic agent (Streptokinase/streptodornase) with saline-soaked dressings and reported the time to complete debridement. Four of the trials compared the effectiveness of dextranomer beads or paste with other products (different comparator

  14. Nursing Workload At A Gastroenterology Unit [carga De Trabajo De Enfermería En Una Unidad De Gastroenterología


    Panunto M.R.; Guirardello E.B.


    One of the biggest challenges nurses face is the need to justify the quantity and quality of staff for care delivery. For this, management instruments are available which help them to determine the staff needed in the nursing team. This descriptive study aims to evaluate the nursing workload at a specialized clinical and surgical gastroenterology unit. To collect data, the Nursing Activities Score (NAS) was used during 30 consecutive days, with 1080 comments, obtained from the records of 149 ...

  15. To be involved - A qualitative study of nurses' experiences of caring for dying patients. (United States)

    Andersson, Erika; Salickiene, Zivile; Rosengren, Kristina


    The aim of this study was to describe nurses' experiences (>two years) of caring for dying patients in surgical wards. Palliative care is included in education for nurses. However, the training content varies, and nurse educators need to be committed to the curriculum regarding end-of-life situations. A lack of preparation among newly graduated nurses regarding dying and death could lead to anxiety, stress and burnout. Therefore, it is important to improve knowledge regarding end-of-life situations. A qualitative descriptive study was carried out in two surgical wards in the southern part of Sweden. The study comprised six interviews with registered nurses and was analysed using manifest qualitative content analysis, a qualitative method that involves an inductive approach, to increase our understanding of nurses' perspectives and thoughts regarding dying patients. The results formed one category (caring-to be involved) and three subcategories (being supportive, being frustrated and being sensitive in the caring processes). Nurses were personally affected and felt unprepared to face dying patients due to a lack of knowledge about the field of palliative care. Their experiences could be described as processes of transition from theory to practice by trial and error. Supervision is a valuable tool for bridging the gap between theory and practice in nursing during the transition from novice to expert. Improved knowledge about palliative care during nursing education and committed nursing leadership at the ward level facilitate preparation for end-of-life situations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. A Nurse communication manager reduces the number of non-relevant contacts

    DEFF Research Database (Denmark)

    Wright, Nana; Laursen, Jannie; Rosenberg, Jacob


    Objective The aim of this study was to reduce interruptions in nursing practice by exploring the effects on the number of nonrelevant contacts received by the nursing staff after implementation of a Nurse Communication Manager. Design The study was designed as a pre/post interventional study. All...... in the surgical department. Interventions During the daytime a Nurse Communication Manager handled all incoming contacts irrespective of whether they were in person or by telephone. When the Nurse Communication Manager was not available and during the evening, night and weekends, telephone contacts were managed...... by an electronic Call Centre guiding the call to the care teams. Main outcome measure(s) The main outcome measures were the number of non-relevant contacts aimed at the nursing staff. Results Results showed a significant reduction in non-relevant contacts to the nursing staff from a mean of 80 contacts per day (SD...

  17. An Investigation of Factors Influencing Nurses' Clinical Decision-Making Skills. (United States)

    Wu, Min; Yang, Jinqiu; Liu, Lingying; Ye, Benlan


    This study aims to investigate the influencing factors on nurses' clinical decision-making (CDM) skills. A cross-sectional nonexperimental research design was conducted in the medical, surgical, and emergency departments of two university hospitals, between May and June 2014. We used a quantile regression method to identify the influencing factors across different quantiles of the CDM skills distribution and compared the results with the corresponding ordinary least squares (OLS) estimates. Our findings revealed that nurses were best at the skills of managing oneself. Educational level, experience, and the total structural empowerment had significant positive impacts on nurses' CDM skills, while the nurse-patient relationship, patient care and interaction, formal empowerment, and information empowerment were negatively correlated with nurses' CDM skills. These variables explained no more than 30% of the variance in nurses' CDM skills and mainly explained the lower quantiles of nurses' CDM skills distribution.

  18. A Nurse Communication Manager reduces the number of non‑relevant contacts

    DEFF Research Database (Denmark)

    Wright, Nana Keir; Seested Nielsen, Nina; Lauersen, Jannie


    Objective The aim of this study was to reduce interruptions in nursing practice by exploring the effects on the number of nonrelevant contacts received by the nursing staff after implementation of a Nurse Communication Manager. Design The study was designed as a pre/post interventional study. All...... in the surgical department. Interventions During the daytime a Nurse Communication Manager handled all incoming contacts irrespective of whether they were in person or by telephone. When the Nurse Communication Manager was not available and during the evening, night and weekends, telephone contacts were managed...... by an electronic Call Centre guiding the call to the care teams. Main outcome measure(s) The main outcome measures were the number of non-relevant contacts aimed at the nursing staff. Results Results showed a significant reduction in non-relevant contacts to the nursing staff from a mean of 80 contacts per day (SD...

  19. Nurses' self-reported knowledge about and attitude to nutrition - before and after a training programme

    DEFF Research Database (Denmark)

    Bjerrum, Merete; Tewes, Marianne; Pedersen, Preben Ulrich


    the patients' hospital stay. But putting evidence of nutritional topics into practice is challenging and nutrition care seems to be a low priority nursing task. Aim: to investigate the impact of an educational programme targeted nurses with special responsibilities for nutrition on the nurses' knowledge...... of nutrition, and whether it enhanced their attitude to their responsibility for nutrition care in relation to assessment and management. Methods: An intervention study was conducted with 16 nurses from either medical or surgical wards who participated in a 12-month educational programme. These nurses were...... found that nurses still have difficulty expressing their knowledge of nutrition using academic concepts, as they mainly use general phrases.  Conclusion: the findings suggest that a short-duration educational programme is not enough to achieve the nurses' full understanding of their responsibility...

  20. [Systematized care in cardiac preoperative: theory of human caring in the perspective of nurses and users]. (United States)

    Amorim, Thais Vasconselos; Arreguy-Sena, Cristina; Alves, Marcelo da Silva; Salimena, Anna Maria de Oliveira


    This is a case study research that aimed to know, with the adoption of the Theory of Human Caring, the meanings of therapeutic interpersonal relationship between nurse and user on the preoperative nursing visit after the experience of the surgical process. The convenience sample was composed of three nurses and three users of an institution that has updated records to perform highly complex cardiovascular surgery, comprising nine combinations of therapeutic interactions. It was used instruments, structured according to the theory of Jean Watson and North American Nursing Diagnosis Association, Nursing Intervention Classification and Nursing Outcomes Classification taxonomies. The legal and ethical aspects of research involving human subjects were assured. The results revealed three clusters to grasp the significance of preoperative visits by users and five clusters to capture the perception of nurses when they experience this clinical experience.