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Sample records for surgical nursing lab

  1. 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

    2012-01-01

    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

  2. The Senior Living Lab: an example of nursing leadership

    OpenAIRE

    Riva-Mossman S; Kampel T; Cohen C.; Verloo H

    2016-01-01

    Susie Riva-Mossman, Thomas Kampel, Christine Cohen, Henk Verloo School of Nursing Sciences, La Source, University of Applied Sciences and Arts of Western Switzerland, Lausanne, Switzerland Abstract: The Senior Living Lab (SLL) is dedicated to the care of older adults and exemplifies how nursing leadership can influence clinical practice by designing research models capable of configuring interdisciplinary partnerships with the potential of generating innovative practices and better older pa...

  3. The Senior Living Lab: an example of nursing leadership

    Directory of Open Access Journals (Sweden)

    Riva-Mossman S

    2016-02-01

    Full Text Available Susie Riva-Mossman, Thomas Kampel, Christine Cohen, Henk Verloo School of Nursing Sciences, La Source, University of Applied Sciences and Arts of Western Switzerland, Lausanne, Switzerland Abstract: The Senior Living Lab (SLL is dedicated to the care of older adults and exemplifies how nursing leadership can influence clinical practice by designing research models capable of configuring interdisciplinary partnerships with the potential of generating innovative practices and better older patient outcomes. Demographic change resulting in growing numbers of older adults requires a societal approach, uniting stakeholders in social innovation processes. The LL approach is an innovative research method that values user perceptions and participation in the cocreation of new products and services. The SLL is crafting a platform responsive to change. It is a learning organization facilitating community-based participatory research methods in the field. Advanced nurse practitioners are well positioned to lead the way forward, fostering interdisciplinary academic collaborations dedicated to healthy aging at home. The SLL demonstrates how nursing science is taking the lead in the field of social innovation. Keywords: community-based participatory approach, Living Lab, nursing leadership, nursing practice, Senior Living Lab, social innovation

  4. The Senior Living Lab: an example of nursing leadership.

    Science.gov (United States)

    Riva-Mossman, Susie; Kampel, Thomas; Cohen, Christine; Verloo, Henk

    2016-01-01

    The Senior Living Lab (SLL) is dedicated to the care of older adults and exemplifies how nursing leadership can influence clinical practice by designing research models capable of configuring interdisciplinary partnerships with the potential of generating innovative practices and better older patient outcomes. Demographic change resulting in growing numbers of older adults requires a societal approach, uniting stakeholders in social innovation processes. The LL approach is an innovative research method that values user perceptions and participation in the cocreation of new products and services. The SLL is crafting a platform responsive to change. It is a learning organization facilitating community-based participatory research methods in the field. Advanced nurse practitioners are well positioned to lead the way forward, fostering interdisciplinary academic collaborations dedicated to healthy aging at home. The SLL demonstrates how nursing science is taking the lead in the field of social innovation.

  5. Perioperative nurse training in cardiothoracic surgical robotics.

    Science.gov (United States)

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

    2001-12-01

    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.

  6. Selection and Implementation of a Simulated Electronic Medical Record (EMR) in a Nursing Skills Lab

    Science.gov (United States)

    Curry, David G.

    2011-01-01

    SUNY Plattsburgh has a baccalaureate nursing program that has been active in integrating technology in nursing education for many years. Recently, the faculty implemented human simulation (Laerdal's SimMan) in the Nursing Skills Lab (NSL) to provide some uniform clinical experiences (high frequency or high risk scenarios) not always available in…

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

    OpenAIRE

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

    2015-01-01

    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...

  8. Frequency of nursing diagnoses in a surgical clinic

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    Andreza Cavalcanti Vasconcelos

    2015-12-01

    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.

  9. NURSING ASSISTANCE FOR PATIENTS IN SURGICAL CENTER ADMISSION

    OpenAIRE

    Zulene Maria de Vasconcelos Varela; Enêde Andrade da Cruz

    2002-01-01

    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...

  10. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

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

    2014-01-01

    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...

  11. [Surgical Center environment and its elements: implications for nursing care].

    Science.gov (United States)

    Silva, Denise Conceição; Alvim, Neide Aparecida Titonelli

    2010-01-01

    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.

  12. Surgical procedure of Free Flap. Main nursing care

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    Manuel Molina López

    2010-05-01

    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.

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

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    Dorota Turska

    2017-01-01

    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.

  14. Using case studies based on a nursing conceptual model to teach medical-surgical nursing.

    Science.gov (United States)

    DeSanto-Madeya, Susan

    2007-10-01

    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.

  15. Swedish Nurse Anesthetists' Experiences of the WHO Surgical Safety Checklist.

    Science.gov (United States)

    Rönnberg, Linda; Nilsson, Ulrica

    2015-12-01

    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.

  16. Standardising fast-track surgical nursing care in Denmark

    DEFF Research Database (Denmark)

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

    2014-01-01

    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...

  17. Nursing the critically ill surgical patient in Zambia.

    Science.gov (United States)

    Carter, Chris; Snell, David

    2016-11-10

    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.

  18. Efficacy of Lactic Acid Bacteria (LAB supplement in management of constipation among nursing home residents

    Directory of Open Access Journals (Sweden)

    Kim Jung

    2010-02-01

    Full Text Available Abstract Background Constipation is a significant problem in the elderly, specifically nursing home and/or extended-care facility residents are reported to suffer from constipation. Lactic acid bacteria (LAB are beneficial probiotic organisms that contribute to improved nutrition, microbial balance, and immuno-enhancement of the intestinal tract, as well as diarrhea and constipation effect. The objective of this study was to investigate the efficacy of this LAB supplement in the management of nursing home residents. Methods Nineteen subjects (8M, 11F; mean age 77.1 ± 10.1 suffering with chronic constipation were assigned to receive LAB (3.0 × 1011 CFU/g twice (to be taken 30 minutes after breakfast and dinner a day for 2 weeks in November 2008. Subjects draw up a questionnaire on defecation habits (frequency of defecation, amount and state of stool, and we collected fecal samples from the subjects both before entering and after ending the trial, to investigate LAB levels and inhibition of harmful enzyme activities. Results were tested with SAS and Student's t-test. Results Analysis of questionnaire showed that there was an increase in the frequency of defecation and amount of stool excreted in defecation habit after LAB treatment, but there were no significant changes. And it also affects the intestinal environment, through significantly increase (p p Conclusion LAB, when added to the standard treatment regimen for nursing home residents with chronic constipation, increased defecation habit such as frequency of defecation, amount and state of stool. So, it may be used as functional probiotics to improve human health by helping to prevent constipation.

  19. NURSING ASSISTANCE FOR PATIENTS IN SURGICAL CENTER ADMISSION

    Directory of Open Access Journals (Sweden)

    Zulene Maria de Vasconcelos Varela

    2002-06-01

    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.

  20. Strategic planning for skills and simulation labs in colleges of nursing.

    Science.gov (United States)

    Gantt, Laura T

    2010-01-01

    While simulation laboratories for clinical nursing education are predicted to grow, budget cuts may threaten these programs. One of the ways to develop a new lab, as well as to keep an existing one on track, is to develop and regularly update a strategic plan. The process of planning not only helps keep the lab faculty and staff apprised of the challenges to be faced, but it also helps to keep senior level management engaged by reason of the need for their input and approval of the plan. The strategic planning documents drafted by those who supervised the development of the new building and Concepts Integration Labs (CILs) helped guide and orient faculty and other personnel hired to implement the plan and fulfill the vision. As the CILs strategic plan was formalized, the draft plans, including the SWOT analysis, were reviewed to provide historical perspective, stimulate discussion, and to make sure old or potential mistakes were not repeated.

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

    Directory of Open Access Journals (Sweden)

    Raj John

    2006-01-01

    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.

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

    Science.gov (United States)

    Seganfredo, Deborah Hein; Almeida, Miriam de Abreu

    2011-01-01

    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.

  3. Stress Generators for employees of surgical nursing center

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    João Paulo Belini Jacques

    2015-03-01

    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.

  4. Undergraduate surgical nursing preparation and guided operating room experience: A quantitative analysis.

    Science.gov (United States)

    Foran, Paula

    2016-01-01

    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.

  5. Developing an International Combined Applied Surgical Science and Wet Lab Simulation Course as an Undergraduate Teaching Model

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    Michail Sideris

    2015-01-01

    Full Text Available Background. Essential Skills in the Management of Surgical Cases (ESMSC is an international, animal model-based course. It combines interactive lectures with basic ex vivo stations and more advanced wet lab modules, that is, in vivo dissections and Heart Transplant Surgery on a swine model. Materials and Methods. Forty-nine medical students (male, N=27, female N=22, and mean age = 23.7 years from King’s College London (KCL and Greek Medical Schools attended the course. Participants were assessed with Direct Observation of Procedural Skills (DOPS, as well as Multiple Choice Questions (MCQs. Paired t-test associations were used to evaluate whether there was statistically significant improvement in their performance. Aim. To evaluate the effectiveness of a combined applied surgical science and wet lab simulation course as a teaching model for surgical skills at the undergraduate level. Results. The mean MCQ score was improved by 2.33/32 (P<0.005. Surgical skills competences, as defined by DOPS scores, were improved in a statically significant manner (P<0.005 for all paired t-test correlations. Conclusions. ESMSC seems to be an effective teaching model, which improves the understanding of the surgical approach and the basic surgical skills. In vivo models could be used potentially as a step further in the Undergraduate Surgical Education.

  6. 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

    2015-10-01

    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.

  7. Using an age-specific nursing model to tailor care to the adolescent surgical patient.

    Science.gov (United States)

    Monahan, Janean Carter

    2014-06-01

    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.

  8. [The leadership style exercised by nurses in surgical wards focuses on situational leadership].

    Science.gov (United States)

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

    1997-04-01

    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.

  9. Surgical glove perforation among nurses in ophthalmic surgery: a case-control study.

    Science.gov (United States)

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

    2014-04-01

    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.

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

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    Bing Bai

    2016-09-01

    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.

  11. Surgical nurses' perceptions of ethical dilemmas, moral distress and quality of care.

    Science.gov (United States)

    DeKeyser Ganz, Freda; Berkovitz, Keren

    2012-07-01

    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.

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

    OpenAIRE

    Kristaps Circenis; Liana Deklava

    2011-01-01

    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...

  13. Reorganizing nursing work on surgical units: a time-and-motion study.

    Science.gov (United States)

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

    2008-01-01

    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.

  14. [Standardization of activities in an oncology surgical center according to nursing intervention classification].

    Science.gov (United States)

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

    2013-06-01

    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.

  15. Operating room nurses' positioning of anesthetized surgical patients

    DEFF Research Database (Denmark)

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

    2016-01-01

    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....

  16. Relationships among NANDA-I diagnoses, nursing outcomes classification, and nursing interventions classification by nursing students for patients in medical-surgical units in Korea.

    Science.gov (United States)

    Noh, Hyun Kyung; Lee, Eunjoo

    2015-01-01

    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.

  17. Factors determining the patients' care intensity for surgeons and surgical nurses: a conjoint analysis.

    Science.gov (United States)

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

    2015-09-18

    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

  18. Surgical patients' and nurses' opinions and expectations about privacy in care.

    Science.gov (United States)

    Akyüz, Elif; Erdemir, Firdevs

    2013-09-01

    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.

  19. Patient satisfaction with nursing care in a colorectal surgical population.

    Science.gov (United States)

    Lumby, J; England, K

    2000-06-01

    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.

  20. Healthcare information technology and medical-surgical nurses: the emergence of a new care partnership.

    Science.gov (United States)

    Moore, An'Nita; Fisher, Kathleen

    2012-03-01

    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.

  1. Work-family conflict and neck and back pain in surgical nurses.

    Science.gov (United States)

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

    2016-12-22

    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.

  2. Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice.

    Science.gov (United States)

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

    2017-08-22

    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.

  3. Advancing medical-surgical nursing practice: improving management of the changing patient condition.

    Science.gov (United States)

    Monroe, Heidi; Plylar, Peggy; Krugman, Mary

    2014-01-01

    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.

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

    OpenAIRE

    2012-01-01

    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...

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

    OpenAIRE

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

    2013-01-01

    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.

  6. Existential issues among nurses in surgical care--a hermeneutical study of critical incidents.

    Science.gov (United States)

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

    2013-03-01

    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.

  7. [The perception of surgical nursing caregivers regarding care given to patients with mental disorder].

    Science.gov (United States)

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

    2009-09-01

    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.

  8. 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

    2012-04-01

    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.

  9. Cardio-thoracic surgical patients' experience on bedside nursing handovers: Findings from a qualitative study.

    Science.gov (United States)

    Lupieri, Giulia; Creatti, Chiara; Palese, Alvisa

    2016-08-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Camila Dalcól

    2016-06-01

    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.

  11. [Knowledge of hypothermia in nursing professionals of surgical center].

    Science.gov (United States)

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

    2012-10-01

    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.

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

    Science.gov (United States)

    Basińska, Beata A; Wilczek-Rużyczka, Ewa

    2013-08-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Beata A. Basińska

    2013-08-01

    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.

  14. Application of space syntax theory in the study of medical-surgical nursing units in urban hospitals.

    Science.gov (United States)

    Trzpuc, Stefnee J; Martin, Caren S

    2010-01-01

    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

  15. [NIC as a tool for assessing competences of nursing students in clinical placement at surgical units].

    Science.gov (United States)

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

    2015-01-01

    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.

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

    Science.gov (United States)

    Lim, Ji Young

    2008-02-01

    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.

  17. Integrating psychosocial skills into a medical-surgical curriculum in a baccalaureate nursing program.

    Science.gov (United States)

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

    2010-10-01

    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.

  18. [Knowledge of nursing professionals of a surgical center regarding malignant hyperthermia].

    Science.gov (United States)

    Sousa, Cristina Silva; Cunha, Ana Lucia Mirancos

    2014-09-01

    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.

  19. A Daily Goals Tool to Facilitate Indirect Nurse-Physician Communication During Morning Rounds on a Medical-Surgical Unit.

    Science.gov (United States)

    Perry, Veronica; Christiansen, Mollie; Simmons, Angela

    2016-01-01

    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.

  20. Enhancing medical-surgical nursing practice: using practice tests and clinical examples to promote active learning and program evaluation.

    Science.gov (United States)

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

    2011-10-01

    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.

  1. Between two roles - Experiences of newly trained nurse practitioners in surgical care in Sweden: A qualitative study using repeated interviews.

    Science.gov (United States)

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

    2016-11-01

    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.

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

    Institute of Scientific and Technical Information of China (English)

    Liqin Xu; Junlian Tan

    2015-01-01

    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.

  3. The effectiveness of and satisfaction with high-fidelity simulation to teach cardiac surgical resuscitation skills to nurses.

    Science.gov (United States)

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

    2017-06-01

    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.

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

    Science.gov (United States)

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

    2010-01-01

    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. The consequences of using advanced physical assessment skills in medical and surgical nursing: A hermeneutic pragmatic study

    Science.gov (United States)

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

    2016-01-01

    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

  6. Surgical nurses' attitudes towards caring for patients dying of cancer - a pilot study of an educational intervention on existential issues.

    Science.gov (United States)

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

    2014-07-01

    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.

  7. Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse.

    Science.gov (United States)

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

    2014-05-01

    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.

  8. Perception of the nursing team of a Surgical Center regarding Hospital Accreditation at a University Hospital.

    Science.gov (United States)

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

    2015-02-01

    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.

  9. A Novel Approach to Surgical Instructions for Scrub Nurses by Using See-Through-Type Head-Mounted Display.

    Science.gov (United States)

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

    2015-08-01

    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.

  10. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit.

    Science.gov (United States)

    Watkins, Terri; Whisman, Lynn; Booker, Pamela

    2016-01-01

    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

  11. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study.

    Science.gov (United States)

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

    2014-01-01

    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

  12. Risk of internet addiction among undergraduate medical, nursing, and lab technology students of a health institution from Delhi, India

    Directory of Open Access Journals (Sweden)

    Anika Sulania

    2015-01-01

    Full Text Available Objective: To assess prevalence, usage pattern, and risk of internet addiction (IA among undergraduate students of a health institution from Delhi. Materials and Methods: A cross-sectional descriptive study was carried out during March-April 2015 using 20-item Young′s IA test, a Likert scale-based interview schedule with scores ranging from 0 to 100 points with a higher score indicating greater internet dependency. Background variables included sociodemographic details, general health practices, self-assessment of mental health status, inter-personal relation (family/friends, personality type, and global satisfaction in life. The scoring pattern was analyzed in the form of low risk (score ≤49 points and high risk (score ≥50 points for IA. The proportion, Chi-square test, adjusted, and un-adjusted odds ratio (OR (95% confidence interval were computed using regression analysis. Results: Out of 202, 40.6% were MBBS students, followed by 35.6% from nursing, and 23.8% from medical lab technology stream; 68.3% were females; the mean age was 20.3 ± 1.4 years; and 61.9% were residing in hostels. It was observed that 44 (21.8% and 22 (10.9% students had ever consumed alcohol and smoked, respectively, while only 42 (20.8% were engaged in physical activity (≥30 min during most (≥5 of the days of the week. Based on self-assessment, 33 (16.3% were globally dissatisfied and 88 (43.6% reported themselves to be introverts. The majority of students were using internet for educational purpose (98%, entertainment (95.0%, accessing social sites (92.5%, checking E-mails (76.2%, and pornographic websites (45%. With regard to IA, 171 (84.7% were at low risk (score ≤49 and 31 (15.4% were at high risk (score ≥50. Male students (P = 0.001, ever consumed alcohol (P = 0.003, ever smoker (P = 0.02, and regular physical activity (P = 0.04 were found to be significantly associated with a high risk of IA based on Chi-square test, but none were found significant

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

    Science.gov (United States)

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

    2011-01-01

    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

  14. A pilot program to improve nursing and surgical intern collaboration: Lessons learned from a mixed-methods study.

    Science.gov (United States)

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

    2017-02-01

    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.

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

    Science.gov (United States)

    Toth, Jean

    2011-01-01

    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.

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

    Science.gov (United States)

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

    2015-04-23

    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.

  17. Vision Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Vision Lab personnel perform research, development, testing and evaluation of eye protection and vision performance. The lab maintains and continues to develop...

  18. [Analysis of teaching of the discipline Nursing in Surgical Center in schools of São Paulo].

    Science.gov (United States)

    Leite, Aline Suelem; Turrini, Ruth Natalia Teresa

    2014-01-01

    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.

  19. 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

    2016-03-01

    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.

  20. Portable Video Media Versus Standard Verbal Communication in Surgical Information Delivery to Nurses: A Prospective Multicenter, Randomized Controlled Crossover Trial.

    Science.gov (United States)

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

    2016-10-01

    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

  1. 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)

    施海

    2014-01-01

    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 .

  2. Peer-to-peer nursing rounds and hospital-acquired pressure ulcer prevalence in a surgical intensive care unit: a quality improvement project.

    Science.gov (United States)

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

    2012-01-01

    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.

  3. Development and evaluation of the e-learning teaching materials for surgical nursing training.

    Science.gov (United States)

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

    2006-01-01

    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.

  4. 强化护生的职业道德教育在护理学基础实验室教学中的效果分析%Analysis the Result of Strengthening Professional Ethics Education of Nursing Students in Basic Nursing Lab Teaching

    Institute of Scientific and Technical Information of China (English)

    魏欢

    2015-01-01

    Objective To analysis the result of strengthening professional ethics education of nursing students in basic nursing lab results Teaching. Methods By "Fundamentals of Nursing" lab curriculum to strengthen professional ethics education of 217 college nursing students in grade 2012, we can evaluate their professional attitude through the nurse professional attitude scale before and after class.Results The lab teaching professional ethics education, made the nursing students' professional emotion signiifcantly improved, it had statistically signiifcant (χ2=41.26, P<0.05).Conclusion Strengthening the nursing students' professional ethics education in the teaching of basic nursing laboratory can change their professional attitudes and ideas, develop their proper professional attitude.%目的:探讨分析强化护生职业道德教育在护理学基础实验室教学中的应用效果。方法通过护生《护理学基础》实验室教学课程加强我校2012级中217名专科护生的职业道德教育,上课前后通过护士职业态度评分表评估她们的职业态度。结果通过基础实验室教学职业道德教育,使护生的职业情感明显提高,差异显著,具有统计学意义(χ2=41.26,P<0.05)。结论在护理学基础实验室教学中加强护生的职业道德教育能够改变她们专业态度和思想观点,并能培养她们正确的职业态度。

  5. PD Lab

    NARCIS (Netherlands)

    Bilow, Marcel; Entrop, Alexis Gerardus; Lichtenberg, Jos; Stoutjesdijk, Pieter

    2015-01-01

    PD Lab explores the applications of building sector related product development. PD lab investigates and tests digital production technologies like CNC milled wood connections. It will also act as a platform in its wider meaning to investigate the effects and influences of file to factory

  6. Learning from an Ambient Assisted Living Lab

    DEFF Research Database (Denmark)

    Bygholm, Ann; Kanstrup, Anne Marie

    2014-01-01

    This paper presents methodological lessons learned from an Ambient Assisted Living (AAL) lab exploring the use of intelligent beds in a nursing home. The living lab study was conducted over a period of three month. 20 intelligent beds were installed. Data was collected via self-registration, diar......This paper presents methodological lessons learned from an Ambient Assisted Living (AAL) lab exploring the use of intelligent beds in a nursing home. The living lab study was conducted over a period of three month. 20 intelligent beds were installed. Data was collected via self...

  7. 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

    2012-05-01

    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.

  8. THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

    Directory of Open Access Journals (Sweden)

    Grażyna Nowak-Starz

    2013-11-01

    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

  9. PD Lab

    OpenAIRE

    Bilow, Marcel; Entrop, Bram; Lichtenberg, Jos; Stoutjesdijk, Pieter

    2015-01-01

    PD Lab explores the applications of building sector related product development. PD lab investigates and tests digital production technologies like CNC milled wood connections. It will also act as a platform in its wider meaning to investigate the effects and influences of file to factory production, to explore the potential in the field of sustainability, material use, logistics and the interaction of stakeholders within the chain of the building process.

  10. 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

    2015-01-01

    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 .

  11. 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)

    吴永珍

    2016-01-01

    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。

  12. Nurses' Perceptions of Role, Team Performance, and Education Regarding Resuscitation in the Adult Medical-Surgical Patient.

    Science.gov (United States)

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

    2015-01-01

    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.

  13. TELECOM LAB

    CERN Multimedia

    IT-CS-TEL Section

    2001-01-01

    The Telecom Lab is moving from Building 104 to Building 31 S-026, with its entrance via the ramp on the side facing Restaurant n°2. The help desk will thus be closed to users on Tuesday 8 May. On May 9, the Lab will only be able to deal with problems of a technical nature at the new address and it will not be able to process any new subscription requests throughout the week from 7 to 11 May. We apologise for any inconvenience this may cause and thank you for your understanding.

  14. A Comparison of Student-Centered versus Traditional Methods of Teaching Basic Nursing Skills in a Learning Laboratory.

    Science.gov (United States)

    Jeffries, Pamela R.; Rew, Sandy; Cramer, Joni M.

    2002-01-01

    To learn surgical asepsis content, 70 nursing students used a student-centered interactive lab and 50 used textbooks, videotapes, and lecture-demonstrations. There were no differences in cognitive gains or ability to demonstrate the skills learned. The student-centered group was significantly more satisfied with their learning. (SK)

  15. A Comparison of Student-Centered versus Traditional Methods of Teaching Basic Nursing Skills in a Learning Laboratory.

    Science.gov (United States)

    Jeffries, Pamela R.; Rew, Sandy; Cramer, Joni M.

    2002-01-01

    To learn surgical asepsis content, 70 nursing students used a student-centered interactive lab and 50 used textbooks, videotapes, and lecture-demonstrations. There were no differences in cognitive gains or ability to demonstrate the skills learned. The student-centered group was significantly more satisfied with their learning. (SK)

  16. 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

    2012-01-01

    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.

  17. 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

    2009-01-01

    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.

  18. 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

    2011-01-01

    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.

  19. 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)

    钱海燕

    2013-01-01

    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.

  20. Lab architecture

    Science.gov (United States)

    Crease, Robert P.

    2008-04-01

    There are few more dramatic illustrations of the vicissitudes of laboratory architecturethan the contrast between Building 20 at the Massachusetts Institute of Technology (MIT) and its replacement, the Ray and Maria Stata Center. Building 20 was built hurriedly in 1943 as temporary housing for MIT's famous Rad Lab, the site of wartime radar research, and it remained a productive laboratory space for over half a century. A decade ago it was demolished to make way for the Stata Center, an architecturally striking building designed by Frank Gehry to house MIT's computer science and artificial intelligence labs (above). But in 2004 - just two years after the Stata Center officially opened - the building was criticized for being unsuitable for research and became the subject of still ongoing lawsuits alleging design and construction failures.

  1. Workspace: LAB

    DEFF Research Database (Denmark)

    Binder, Thomas; Lundsgaard, Christina; Nørskov, Eva-Carina

    2007-01-01

    På mange arbejdspladser viger man tilbage fra at inddrage medarbejderne når der igangsættes større forandringer. Workspace:lab er et bud på en inddragende udviklingsproces hvor dialog og eksperimenter står i centrum. Ved at samle såvel medarbejdere som ledelse og rådgivere på et mindre antal...

  2. 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

    2012-01-01

    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

  3. 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)

    李冬梅

    2015-01-01

    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.

  4. The history of Rhoton's Lab.

    Science.gov (United States)

    Matsushima, Toshio; Richard Lister, J; Matsushima, Ken; de Oliveira, Evandro; Timurkaynak, Erdener; Peace, David A; Kobayashi, Shigeaki

    2017-09-06

    The work performed in Dr. Rhoton's Lab, represented by over 500 publications on microneurosurgical anatomy, greatly contributed to improving the level of neurosurgical treatment throughout the world. The authors reviewed the development and activities of the Lab over 40 years. Dr. Albert L. Rhoton Jr., the founder of, and leader in, this field, displayed great creativity and ingenuity during his life. He devoted himself to perfecting his study methodology, employing high-definition photos and slides to enhance the quality of his published papers. He dedicated his life to the education of neurosurgeons. His "lab team," which included microneuroanatomy research fellows, medical illustrators, lab directors, and secretaries, worked together under his leadership to develop the methods and techniques of anatomical study to complete over 160 microneurosurgical anatomy projects. The medical illustrators adapted computer technologies and integrated art and science in the field of microneurosurgical anatomy. Dr. Rhoton's fellows established methods of injecting colors and pursued a series of projects to innovate surgical approaches and instruments over a 40-year period. They also continued to help Dr. Rhoton to conduct international educational activities after returning to their home countries. Rhoton's Lab became a world-renowned anatomical lab as well as a microsurgical training center and generated the knowledge necessary to perform accurate, gentle, and safe surgery for the sake of patients.

  5. 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

    2014-01-01

    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

  6. 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

    2011-01-01

    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.

  7. 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

    2015-01-01

    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.

  8. 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

    2012-01-01

      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.

  9. 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

    2015-12-01

    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

  10. Interprofessional Obstetric Ultrasound Education: Successful Development of Online Learning Modules; Case-Based Seminars; and Skills Labs for Registered and Advanced Practice Nurses, Midwives, Physicians, and Trainees.

    Science.gov (United States)

    Shaw-Battista, Jenna; Young-Lin, Nichole; Bearman, Sage; Dau, Kim; Vargas, Juan

    2015-01-01

    Ultrasound is an important aid in the clinical diagnosis and management of normal and complicated pregnancy and childbirth. The technology is widely applied to maternity care in the United States, where comprehensive standard ultrasound examinations are routine. Targeted scans are common and used for an increasing number of clinical indications due to emerging research and a greater availability of equipment with better image resolution at lower cost. These factors contribute to an increased demand for obstetric ultrasound education among students and providers of maternity care, despite a paucity of data to inform education program design and evaluation. To meet this demand, from 2012 to 2015 the University of California, San Francisco nurse-midwifery education program developed and implemented an interprofessional obstetric ultrasound course focused on clinical applications commonly managed by maternity care providers from different professions and disciplines. The course included matriculating students in nursing and medicine, as well as licensed practitioners such as registered and advanced practice nurses, midwives, and physicians and residents in obstetrics and gynecology and family medicine. After completing 10 online modules with a pre- and posttest of knowledge and interprofessional competencies related to teamwork and communication, trainees attended a case-based seminar and hands-on skills practicum with pregnant volunteers. The course aimed to establish a foundation for further supervised clinical training prior to independent practice of obstetric ultrasound. Course development was informed by professional guidelines and clinical and education research literature. This article describes the foundations, with a review of the challenges and solutions encountered in obstetric ultrasound education development and implementation. Our experience will inform educators who wish to facilitate obstetric ultrasound competency development among new and experienced

  11. Using dummies for surgical skills training

    DEFF Research Database (Denmark)

    Langebæk, Rikke

    2011-01-01

    teaching methods for veterinary surgical training. At the Department of Small Animal Clinical Sciences, Faculty of Life Sciences, a number of low fidelity, stuffed toy animal dummies was developed for the Surgical Skills Lab in order to teach 4th year students the basic surgical skills. In the Surgical...... this a relatively low budget solution with a big ethical benefit....

  12. 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

    2015-01-01

    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。

  13. Anxiety in veterinary surgical students

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Eika, Berit; Jensen, Asger Lundorff

    2012-01-01

    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...

  14. 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

    2014-01-01

    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

  15. 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

    2001-01-01

    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。

  16. 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)

    印建榕

    2011-01-01

    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.

  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

    2014-01-01

    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. [Semiotic Studies Lab for Patient Care Interactions].

    Science.gov (United States)

    Nunes, Dulce Maria; Portella, Jean Cristtus; Bianchi e Silva, Laura

    2011-12-01

    The aim of this experience report is to present the Semiotic Studies Lab for Patient Care Interactions (Laboratório de Estudos Semióticos nas Interações de Cuidado - LESIC). The lab was set up at the Nursing School of the Federal University of Rio Grande do Sul (UFRGS), Brazil in 2010. It has the purpose of providing didactic and pedagogical updates, based on the Theory developed by the Paris School of Semiotics, that enable the increase of knowledge and interactive/observational skills regarding the nature and mastery of human care.

  19. 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)

    余莲花

    2015-01-01

    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 .

  20. 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)

    丛金萍

    2015-01-01

    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.

  1. 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

    2016-01-01

    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

  2. The Virtual Lab System

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    A virtual lab system is the simulation of real devices and experiments using computer and network tech-nology. It can make users do experiments easily, observe experiment phenomena and results through the remote termi-nal. Consequently, users can get final results to verify relative theory. The article analyses the features of virtual labsystems. A real virtual lab system named "Multimedia Virtual Lab for Digital Circuit Logic Design (MVLDCLD) "which has been developed by the authors and their group is also presented.

  3. USNA DIGITAL FORENSICS LAB

    Data.gov (United States)

    Federal Laboratory Consortium — To enable Digital Forensics and Computer Security research and educational opportunities across majors and departments. Lab MissionEstablish and maintain a Digital...

  4. Magnetic Media Lab

    Data.gov (United States)

    Federal Laboratory Consortium — This lab specializes in tape certification and performance characterization of high density digital tape and isprepared to support the certification of standard size...

  5. USNA DIGITAL FORENSICS LAB

    Data.gov (United States)

    Federal Laboratory Consortium — To enable Digital Forensics and Computer Security research and educational opportunities across majors and departments. Lab Mission Establish and maintain a Digital...

  6. Fabrication and Prototyping Lab

    Data.gov (United States)

    Federal Laboratory Consortium — Purpose: The Fabrication and Prototyping Lab for composite structures provides a wide variety of fabrication capabilities critical to enabling hands-on research and...

  7. Crystallization Formulation Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Crystallization Formulation Lab fills a critical need in the process development and optimization of current and new explosives and energetic formulations. The...

  8. 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

    2011-01-01

    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.

  9. 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)

    成靖

    2016-01-01

    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。

  10. 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

    2016-01-01

    〔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。

  11. 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

    2013-01-01

    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.

  12. Abortion - surgical

    Science.gov (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. ...

  13. Physics Labs with Flavor

    Science.gov (United States)

    Agrest, Mikhail M.

    2009-01-01

    This paper describes my attempts to look deeper into the so-called "shoot for your grade" labs, started in the '90s, when I began applying my teaching experience in Russia to introductory physics labs at the College of Charleston and other higher education institutions in South Carolina. The term "shoot for your grade" became popular among…

  14. Making Real Virtual Labs

    Science.gov (United States)

    Keller, Harry E.; Keller, Edward E.

    2005-01-01

    Francis Bacon began defining scientific methodology in the early 17th century, and secondary school science classes began to implement science labs in the mid-19th century. By the early 20th century, leading educators were suggesting that science labs be used to develop scientific thinking habits in young students, and at the beginning of the 21st…

  15. Nursing practice environment and outcomes for oncology nursing.

    Science.gov (United States)

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

    2013-01-01

    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.

  16. 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

    2009-01-01

    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.

  17. 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)

    刘素琼

    2015-01-01

    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

  18. 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

    2016-01-01

    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.

  19. Nursing Practice Environment and Outcomes for Oncology Nursing

    Science.gov (United States)

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

    2012-01-01

    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

  20. American Nurses Association Nursing World

    Science.gov (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 ...

  1. Laser Research Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Laser Research lab is thecenter for the development of new laser sources, nonlinear optical materials, frequency conversion processes and laser-based sensors for...

  2. Secure Processing Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Secure Processing Lab is the center of excellence for new and novel processing techniques for the formation, calibration and analysis of radar. In addition, this...

  3. The Udall Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Udall lab is interested in genome evolution and cotton genomics.The cotton genus ( Gossypium) is an extraordinarily diverse group with approximately 50 species...

  4. Deciphering Your Lab Report

    Science.gov (United States)

    Advertisement Proceeds from website advertising help sustain Lab Tests Online. AACC is a not-for-profit organization and does not endorse non-AACC products and services. Advertising & Sponsorship: Policy | Opportunities ...

  5. Clothing Systems Design Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Clothing Systems Design Lab houses facilities for the design and rapid prototyping of military protective apparel.Other focuses include: creation of patterns and...

  6. LIDAR Research & Development Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The LIDAR Research and Development labs are used to investigate and improve LIDAR components such as laser sources, optical signal detectors and optical filters. The...

  7. THE INFLUENCE OF STRESS CONNECTED WITH PROFESSIONAL WORK ON THE OCCURRENCE OF BURNOUT SYNDROME IN NURSES WORKING IN SURGICAL AND MEDICAL TREATMENT WARDS

    OpenAIRE

    Grażyna Nowak-Starz; Barbara Kozak; Kazimiera Zdziebło

    2013-01-01

    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...

  8. 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

    2011-01-01

    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

  9. Improving Nurse-Physician Teamwork: A Multidisciplinary Collaboration.

    Science.gov (United States)

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

    2016-01-01

    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.

  10. Surgical Assisting

    Science.gov (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 ...

  11. 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)

    贾美娜

    2015-01-01

    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。

  12. Nicaraguan and US nursing collaborative evaluation study: Identifying similarities and differences between US and Nicaraguan curricula and teaching modalities using the community engagement model.

    Science.gov (United States)

    Lake, Donna; Engelke, Martha K; Kosko, Debra A; Roberson, Donna W; Jaime, Joba Fany; López, Feliciana Rojas; Rivas, Fidelia Mercedes Poveda; Salazar, Yolanda Matute; Salmeron, Juana Julia

    2017-04-01

    Curricula evaluation is an essential phase of curriculum development. Study describes the implementation of a formative evaluation used by faculty members between Universidad Nacional Autonóma de Nicaragua (UNAN-Leon) Escuela de Enfermeriá, Nicaragua and East Carolina University College of Nursing (ECU CON) in North Carolina, US. Program evaluation study to conduct an assessment, comparison of a medical-surgical adult curriculum and teaching modalities. Also, explore the Community Engagement (CE) Model to build a Central American-US faculty partnership. Methodological evaluation study utilizing a newly developed International Nursing Education Curriculum Evaluation Tool related to adult medical and surgical nursing standards. Also, the CE Model was tested as a facilitation tool in building partnerships between nurse educators. Nicaragua and US nursing faculty teams constructed the curriculum evaluation by utilizing the International Nursing Education Curriculum Evaluation Tool (INECET) by reviewing 57 elements covering 6 Domains related to adult medical and surgical nursing standards. Developed, explored the utilization of the INECET based on a standard of practice framework. The Community Engagement Model, a fivephase cycle, Inform, Consult, Involve, Collaborate, and Empower was utilized to facilitate the collaborative process. Similarities between the US and Nicaraguan curricula and teaching modalities were reflective based on the 57 elements covering 6 Domain assessment tool. Case studies, lecture, and clinical hospital rotations were utilized as teaching modalities. Both schools lacked sufficient time for clinical practicum time. The differences, included UNAN-Leon had a lack of simulation skill lab, equipment, and space, whereas ECU CON had sufficient resources. The ECU school lacked applied case studies from a rural health medical-surgical adult nursing perspective and less time in rural health clinics. The UNAN-Leon nursing standards generalized based on

  13. 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

    2015-01-01

    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。

  14. 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

    2010-01-01

    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

  15. CDC Lab Values

    Centers for Disease Control (CDC) Podcasts

    2015-02-02

    More than fifteen hundred scientists fill the lab benches at CDC, logging more than four million hours each year. CDC’s laboratories play a critical role in the agency’s ability to find, stop, and prevent disease outbreaks. This podcast provides a brief overview of what goes on inside CDC’s labs, and why this work makes a difference in American’s health.  Created: 2/2/2015 by Office of the Associate Director for Communication (OADC).   Date Released: 2/2/2015.

  16. OpenLabNotes

    DEFF Research Database (Denmark)

    List, Markus; Franz, Michael; Tan, Qihua

    2015-01-01

    the longevity of the providers. Turning towards free alternatives, however, raises questions about data protection, which are not sufficiently addressed by available solutions. To serve as legal documents, ELNs must prevent scientific fraud through technical means such as digital signatures. It would also......LabFramework, a powerful and flexible laboratory information management system. In contrast to comparable solutions, it allows to protect the intellectual property of its users by offering data protection with digital signatures. OpenLabNotes effectively Closes the gap between research documentation and sample management...

  17. SmallSat Lab

    Science.gov (United States)

    2014-03-05

    CubeSat. Mr. Alvarez worked with four students on the PCB layout for the solar panels and the construction of the 6U CubeSat mockup . Support for Mr...Hull and Mr. Alvarez was $49k including fringe benefits. !! Purchases: During this time period a license for MatLab software and the Princeton...Satellite ToolBox was purchased using funds from this award. This software adds tremendous capability to the SmallSat Lab by enabling students to analyze

  18. The NOAO Data Lab

    Science.gov (United States)

    Fitzpatrick, M.; Olsen, K.; Stobie, E. B.; Mighell, K. J.; Norris, P.

    2015-09-01

    We describe the NOAO Data Lab to help community users take advantage of current large surveys and prepare them even larger surveys in the era of LSST. The Data Lab will allow users to efficiently utilize catalogs of billions of objects, combine traditional telescope image and spectral data with external archives, share custom results with collaborators, publish data products to other users, and experiment with analysis toolkits. Specific science cases will be used to develop a prototype framework and tools, allowing us to work directly with scientists from survey teams to ensure development remains focused on scientifically productive tasks.

  19. 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

    2015-01-01

    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.

  20. A Big Bang Lab

    Science.gov (United States)

    Scheider, Walter

    2005-01-01

    The February 2005 issue of The Science Teacher (TST) reminded everyone that by learning how scientists study stars, students gain an understanding of how science measures things that can not be set up in lab, either because they are too big, too far away, or happened in a very distant past. The authors of "How Far are the Stars?" show how the…

  1. Lab on paper

    NARCIS (Netherlands)

    Zhao, Weian; van den Berg, Albert

    2008-01-01

    Lab-on-a-chip (LOC) devices, which are suited to portable point-of-care (POC) diagnostics and on-site detection, hold great promise for improving global health, and other applications.1–8 While their importance and utility are widely acknowledged and extensive research has been conducted in the

  2. The Crime Lab Project.

    Science.gov (United States)

    Hein, Annamae J.

    2003-01-01

    Describes the Crime Lab Project, which takes an economical, hands-on, interdisciplinary approach to studying the career of forensics in the middle or high school classroom. Includes step-by-step student requirements for the investigative procedure, a sample evidence request form, and an assessment rubric. (KHR)

  3. Lab with Dad

    Science.gov (United States)

    Havers, Brenda; Delmotte, Karen

    2012-01-01

    Family science nights are fantastic, but planning one can be overwhelming, especially when one considers the already overloaded schedule of a classroom teacher. To overcome this challenge, the authors--colleagues with a mutual love of science--developed a much simpler annual event called "Lab With Dad." The purpose was for one target age group of…

  4. Physics lab in spin

    CERN Multimedia

    Hawkes, N

    1999-01-01

    RAL is fostering commerical exploitation of its research and facilities in two main ways : spin-out companies exploit work done at the lab, spin-in companies work on site taking advantage of the facilities and the expertise available (1/2 page).

  5. Elemental Chem Lab

    Science.gov (United States)

    Franco Mariscal, Antonio Joaquin

    2008-01-01

    This educative material uses the symbols of 45 elements to spell the names of 32 types of laboratory equipment usually found in chemical labs. This teaching material has been divided into three puzzles according to the type of the laboratory equipment: (i) glassware as reaction vessels or containers; (ii) glassware for measuring, addition or…

  6. Lab on paper

    NARCIS (Netherlands)

    Zhao, Weian; van den Berg, Albert

    2008-01-01

    Lab-on-a-chip (LOC) devices, which are suited to portable point-of-care (POC) diagnostics and on-site detection, hold great promise for improving global health, and other applications.1–8 While their importance and utility are widely acknowledged and extensive research has been conducted in the labo

  7. 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

    2016-01-01

    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

  8. The Enigma of Graduate Nursing Education: Advanced Generalist? Specialist?

    Science.gov (United States)

    Reed, Suellen B.; Hoffman, Sharon E.

    1986-01-01

    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…

  9. 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

    2016-01-01

    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.

  10. Skills Labs: workshop EMERGO toolkit

    NARCIS (Netherlands)

    Kurvers, Hub; Slootmaker, Aad

    2009-01-01

    Kurvers, H. J., & Slootmaker, A. (2009). Skills Labs: workshop EMERGO toolkit. Presentation given at project members of Skills Labs. March, 31, 2009 and April, 24, 2009, Heerlen, The Netherlands: Open University of the Netherlands.

  11. ERLN Lab Compendium Fact Sheet

    Science.gov (United States)

    The Compendium is an online database of environmental testing laboratories nationwide. It enables labs to create profiles of their capabilities, so emergency responders can quickly identify a lab that will meet their support needs.

  12. 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

    2010-01-01

    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

  13. Learning from an Ambient Assisted Living Lab: the case of the intelligent bed.

    Science.gov (United States)

    Bygholm, Ann; Kanstrup, Anne Marie

    2014-01-01

    This paper presents methodological lessons learned from an Ambient Assisted Living (AAL) lab exploring the use of intelligent beds in a nursing home. The living lab study was conducted over a period of three month. 20 intelligent beds were installed. Data was collected via self-registration, diaries, observations, interviews and workshops with residents, nurses, nursing assistants, management, building officers, and purchasers from the Municipality. The paper presents an analysis within the overall themes of technology, use, and care, which is discussed by use of the SWOT framework presenting strengths, weaknesses, opportunities, and threats identified in the living lab of the intelligent bed. The paper concludes by emphasizing the need for mature technology, long-term studies, clarification of role and tasks of different stakeholders, and attention on methods used for living lab evaluations.

  14. 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

    2016-01-01

    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

  15. An Analysis of Navy Nurse Corps Accession Sources

    Science.gov (United States)

    2014-03-01

    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

  16. Nursing: Registered Nurses

    Science.gov (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 ...

  17. 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

    2004-12-01

    ' 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.

  18. 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

    2010-04-01

    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

  19. 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

    2015-01-01

    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,

  20. 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

    2015-01-01

    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.

  1. 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

    2014-01-01

    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。

  2. 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

    2003-01-01

    @@ 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.

  3. Archimedes Remote Lab for Secondary Schools

    NARCIS (Netherlands)

    Garcia Zubia, J.; Angulo Martinez, I.; Martinez Pieper, G.; Lopez de Ipina Gonzalez de Artaza, D.; Hernandez Jayo, U.; Orduna Fernandez, P.; Dziabenko, O.; Rodriguez Gil, L.; Riesen, van S.A.N.; Anjewierden, A.A.; Kamp, E.; Jong, de A.J.M.

    2015-01-01

    This paper presents a remote lab designed for teaching the Archimedes’ principle to secondary school students, as well as an online virtual lab on the general domain of buoyancy. The Archimedes remote lab is integrated into WebLab-Deusto. Both labs are promoted for usage in frame of the Go-Lab Europ

  4. Archimedes Remote Lab for Secondary Schools

    NARCIS (Netherlands)

    Garcia Zubia, J.; Angulo Martinez, I.; Martinez Pieper, G.; Lopez de Ipina Gonzalez de Artaza, D.; Hernandez Jayo, U.; Orduna Fernandez, P.; Dziabenko, O.; Rodriguez Gil, L.; van Riesen, Siswa; Anjewierden, Anjo Allert; Kamp, Ellen; de Jong, Anthonius J.M.

    2015-01-01

    This paper presents a remote lab designed for teaching the Archimedes’ principle to secondary school students, as well as an online virtual lab on the general domain of buoyancy. The Archimedes remote lab is integrated into WebLab-Deusto. Both labs are promoted for usage in frame of the Go-Lab

  5. Multimodal strategies to improve surgical outcome

    DEFF Research Database (Denmark)

    Kehlet, Henrik; Wilmore, Douglas W

    2002-01-01

    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....

  6. Good nurse, bad nurse....

    Science.gov (United States)

    Alavi, C; Cattoni, J

    1995-02-01

    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.

  7. Phoenix's Wet Chemistry Lab

    Science.gov (United States)

    2008-01-01

    This is an illustration of the analytical procedure of NASA's Phoenix Mars Lander's Wet Chemistry Lab (WCL) on board the Microscopy, Electrochemistry, and Conductivity Analyzer (MECA) instrument. By dissolving small amounts of soil in water, WCL can determine the pH, the abundance of minerals such as magnesium and sodium cations or chloride, bromide and sulfate anions, as well as the conductivity and redox potential. The Phoenix Mission is led by the University of Arizona, Tucson, on behalf of NASA. Project management of the mission is by NASA's Jet Propulsion Laboratory, Pasadena, Calif. Spacecraft development is by Lockheed Martin Space Systems, Denver.

  8. Phoenix's Wet Chemistry Lab

    Science.gov (United States)

    2008-01-01

    This is an illustration of soil analysis on NASA's Phoenix Mars Lander's Wet Chemistry Lab (WCL) on board the Microscopy, Electrochemistry, and Conductivity Analyzer (MECA) instrument. By dissolving small amounts of soil in water, WCL will attempt to determine the pH, the abundance of minerals such as magnesium and sodium cations or chloride, bromide and sulfate anions, as well as the conductivity and redox potential. The Phoenix Mission is led by the University of Arizona, Tucson, on behalf of NASA. Project management of the mission is by NASA's Jet Propulsion Laboratory, Pasadena, Calif. Spacecraft development is by Lockheed Martin Space Systems, Denver.

  9. e-Learning - Physics Labs

    Science.gov (United States)

    Mohottala, Hashini

    2014-03-01

    The general student population enrolled in any college level class is highly diverse. An increasing number of ``nontraditional'' students return to college and most of these students follow distance learning degree programs while engaging in their other commitments, work and family. However, those students tend to avoid taking science courses with labs, mostly because of the incapability of remotely completing the lab components in such courses. In order to address this issue, we have come across a method where introductory level physics labs can be taught remotely. In this process a lab kit with the critical lab components that can be easily accessible are conveniently packed into a box and distributed among students at the beginning of the semester. Once the students are given the apparatus they perform the experiments at home and gather data All communications with reference to the lab was done through an interactive user-friendly webpage - Wikispaces (WikiS). Students who create pages on WikiS can submit their lab write-ups, embed videos of the experiments they perform, post pictures and direct questions to the lab instructor. The students who are enrolled in the same lab can interact with each other through WikiS to discuss labs and even get assistance.

  10. Electronic nursing care reminders: implications for nursing leaders.

    Science.gov (United States)

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

    2015-05-01

    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.

  11. 48. TAVI – From nursing perspective

    Directory of Open Access Journals (Sweden)

    Aljuhara AlMarzoog

    2015-10-01

    Full Text Available Aortic stenosis is a common valvular pathological finding in older adults. Currently, aortic valve replacement is the gold-standard treatment for severe symptomatic aortic stenosis. However, patients with advanced age and multiple comorbidities carry a significant operative risk. With an increasingly elderly population, we are seeing more patients with multiple comorbidities unable to have surgical repair of their aortic valves. Transcatheter aortic valve implantation (TAVI is now an option available for these patients, and the cath labs need to get prepared Transcatheter aortic valve implantation (TAVI is a new clinical procedure used to insert an aortic valve percutaneously where conventional cardiac surgery would be deemed too high risk. Transcatheter aortic valve implantation (TAVI provides new hope for enhanced quality of lifefor frail elderly aortic stenosis patients who are deemed prohibitively high risk for open heart valve surgery. Nursing has a vital role in this procedures through patient – centered care. Aim of this presentation to discuss most relevant and evidenced based nursing care and guidelines.

  12. 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)

    郭柒莲

    2013-01-01

    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。

  13. Inexpensive DAQ based physics labs

    Science.gov (United States)

    Lewis, Benjamin; Clark, Shane

    2015-11-01

    Quality Data Acquisition (DAQ) based physics labs can be designed using microcontrollers and very low cost sensors with minimal lab equipment. A prototype device with several sensors and documentation for a number of DAQ-based labs is showcased. The device connects to a computer through Bluetooth and uses a simple interface to control the DAQ and display real time graphs, storing the data in .txt and .xls formats. A full device including a larger number of sensors combined with software interface and detailed documentation would provide a high quality physics lab education for minimal cost, for instance in high schools lacking lab equipment or students taking online classes. An entire semester’s lab course could be conducted using a single device with a manufacturing cost of under $20.

  14. 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)

    韩静

    2014-01-01

    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.

  15. 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)

    李彬

    2014-01-01

    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。

  16. ERLN Technical Support for Labs

    Science.gov (United States)

    The Environmental Response Laboratory Network provides policies and guidance on lab and data requirements, Standardized Analytical Methods, and technical support for water and radiological sampling and analysis

  17. Aircraft Lighting and Transparency Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Advanced Lighting and Transparencies with Night Combat Lab performs radiometric and photometric measurements of cockpit lighting and displays. Evaluates the day,...

  18. 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)

    陈洪芳

    2015-01-01

    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。

  19. The Jefferson Lab Program

    CERN Document Server

    James-Boyce, M

    2003-01-01

    The kW-class infrared (IR) free electron laser (FEL) at the Thomas Jefferson National Accelerator Facility (Jefferson Lab) had the capability of producing intra-cavity Thomson scattering of the IR off the electron beam thus producing high average flux, sub-picosecond x-rays. We have measured these x-rays and demonstrated the energy tunability range from 3.5 keV to 18 keV. The corresponding flux and brightness have been estimated and will be discussed. In 2002, the FEL was disassembled and has been reconfigured to produce 10 kW average power IR. We present the estimated x-ray capabilities for the new FEL and discuss potential applications.

  20. The lab of fame

    CERN Multimedia

    Antonella Del Rosso

    2014-01-01

    For a third time, CERN is organising the Swiss heat of Famelab, the world’s leading science communication competition that has already gathered over 5,000 young and talented scientists and engineers from all across the planet.   Besides their degrees, the scientists who participate in Famelab have another thing in common: their passion for communicating science. Coming from a variety of scientific fields, from medicine to particle physics and microbiology, the contestants have three minutes to present a science, technology, mathematics or engineering-based talk using only the props he or she can carry onto the stage; PowerPoint presentations are not permitted. The contestants are then judged by a panel of three judges who evaluate the content, clarity and charisma of their talks. What's unique about FameLab is the fact that content is an important aspect of the performance. At the end of their presentation, contestants are often questioned about the scientific relevance of...

  1. 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

    2015-01-01

    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 .

  2. Nursing churn and turnover in Australian hospitals: nurses perceptions and suggestions for supportive strategies.

    Science.gov (United States)

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

    2014-04-08

    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.

  3. Physics Labs with Flavor II

    Science.gov (United States)

    Agrest, Mikhail M.

    2011-01-01

    This paper was inspired by the numerous requests from "TPT" readers to expand the number of examples of "recurrent study" lab exercises described in my previous paper "Physics Labs with Flavor." I recommend that readers examine it first in order to better understand this one as my attempt here is to be brief. In that paper, one can find details…

  4. Physics Labs with Flavor II

    Science.gov (United States)

    Agrest, Mikhail M.

    2011-01-01

    This paper was inspired by the numerous requests from "TPT" readers to expand the number of examples of "recurrent study" lab exercises described in my previous paper "Physics Labs with Flavor." I recommend that readers examine it first in order to better understand this one as my attempt here is to be brief. In that paper, one can find details…

  5. GitLab repository management

    CERN Document Server

    Hethey, Jonathan

    2013-01-01

    A simple, easy to understand tutorial guide on how to build teams and efficiently use version control, using GitLab.If you are a system administrator in a company that writes software or are in charge of an infrastructure, this book will show you the most important features of GitLab, including how to speed up the overall process

  6. 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

    2009-03-01

    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.

  7. 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

    2004-06-01

    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.

  8. Surgical Navigation

    DEFF Research Database (Denmark)

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

    2017-01-01

    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....

  9. 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

    2016-01-01

    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

  10. 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

    2013-01-01

    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

  11. What's your lab's strategy?

    Science.gov (United States)

    Francis, Peter

    2016-07-01

    Important strategic choices cascade throughout a laboratory. Senior management should create a document that answers each of the five key questions explained on page 60. Once this has been detailed in writing, it remains important to disseminate the basics to all employees so they are singing the same tune. A useful way to accomplish this is through a coherent strategy statement that specifies three components: 1) objectives; 2) scope; and 3) advantages. Commercial and hospital outreach labs should be in business to win. It all starts with a definition of what winning looks like. To "participate" in your market contributes to mediocrity-and it's self-defeating. With no clear strategic direction of where-to-play and how-to-win choices that associate with the aspiration, a mission or vision statement can be frustrating rather than inspiring for employees. Articulate it plainly and concisely for everybody. With a care-fully prepared and designed strategy, you will be on your way to winning in the zero-sum game!

  12. Thinking Outside the Lab

    Science.gov (United States)

    Colter, Tabitha

    2017-01-01

    As an undergraduate physics major who spent 2015 deep in a quantum optics lab at Oak Ridge National Laboratory, I knew my 2016 experience with the House of Representatives Energy and Commerce Committee would be a completely new challenge. I have long had a passion for the bridge of communication between the technical and non-technical worlds but it was only through my AIP Mather internship this summer that I was able to see that passion come to life in the realm of science policy. Suddenly, I went from squeezing political philosophy classes into my packed schedule to witnessing the political process first-hand. I was thrilled to find that the skills of critical thinking and communicating complex issues I have developed throughout my training as a physicist were directly applicable to my work in Congress. Overall, my experience this summer has given me insight into the inner workings of the federal policy process, deepened my appreciation for the work of government employees to keep Congressional members informed on the pressing current issues, and exposed me to a whole range of alternative careers within science. AIP and SPS

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

    OpenAIRE

    Adriana Cristina de Oliveira; Camila Sarmento Gama

    2015-01-01

    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 ...

  14. 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

    2001-03-01

    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.

  15. Nursing Supplies

    Science.gov (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 ...

  16. Living Labs – From scientific labs to the smart city

    DEFF Research Database (Denmark)

    Heller, Alfred

    time is part of the Doll Living Lab setup placed in the area. Lyngby Smart City is a living lab approach facilitated by the City of Knowledge. Together with the labs presented above, we find a direct chain from scientific research labs at DTU over the campus lab, out into the real world living labs...... near Lyngby and from there into the big smart city of Copenhagen to be promoted to the world markets. This way the value chain “from research to invoice” is instantiated into not only an innovation and business strategy, but rather a research strategy that aims at elevating DTU’s research to an even......, but also partners from outside. This proposition can be found under the term “Smart Campus” with it’s own homepage. Here you find the example from the library above, the Smart Avenue that enables communication and IT solutions on the campus, enabled through intelligent street lightning that in the same...

  17. Common Systems Integration Lab (CSIL)

    Data.gov (United States)

    Federal Laboratory Consortium — The Common Systems Integration Lab (CSIL)supports the PMA-209 Air Combat Electronics Program Office. CSIL also supports development, test, integration and life cycle...

  18. Where Lab Tests Are Performed

    Science.gov (United States)

    Advertisement Proceeds from website advertising help sustain Lab Tests Online. AACC is a not-for-profit organization and does not endorse non-AACC products and services. Advertising & Sponsorship: Policy | Opportunities ...

  19. Hospital labs go under microscope.

    Science.gov (United States)

    Aston, Geri

    2014-05-01

    Financial pressures are hitting hospital clinical labs on both the inpatient and outpatient sides. To control expenses, hospitals are teaming up to buy supplies, centralizing services and improving blood management.

  20. Pollution hazard closes neutrino lab

    CERN Multimedia

    Jones, Nicola

    2003-01-01

    "A leading astrophysics laboratory in Italy has closed down all but one of its experiments over concerns that toxic polluants could leak form the underground lab into the local water supply" (0.5 page)

  1. Generalized Nanosatellite Avionics Testbed Lab

    Science.gov (United States)

    Frost, Chad R.; Sorgenfrei, Matthew C.; Nehrenz, Matt

    2015-01-01

    The Generalized Nanosatellite Avionics Testbed (G-NAT) lab at NASA Ames Research Center provides a flexible, easily accessible platform for developing hardware and software for advanced small spacecraft. A collaboration between the Mission Design Division and the Intelligent Systems Division, the objective of the lab is to provide testing data and general test protocols for advanced sensors, actuators, and processors for CubeSat-class spacecraft. By developing test schemes for advanced components outside of the standard mission lifecycle, the lab is able to help reduce the risk carried by advanced nanosatellite or CubeSat missions. Such missions are often allocated very little time for testing, and too often the test facilities must be custom-built for the needs of the mission at hand. The G-NAT lab helps to eliminate these problems by providing an existing suite of testbeds that combines easily accessible, commercial-offthe- shelf (COTS) processors with a collection of existing sensors and actuators.

  2. Jefferson Lab Phenomenology: an Overview

    Energy Technology Data Exchange (ETDEWEB)

    Wally Melnitchouk

    2004-03-01

    Experiments at Jefferson Lab are pushing the frontiers of our knowledge about the structure and dynamics of nucleons and nuclei. I will review a selection of recent results and discuss their impact on our understanding of hadron structure.

  3. Metallurgical Laboratory (MET-LAB)

    Data.gov (United States)

    Federal Laboratory Consortium — The MET-LAB can perform materials characterization for all types of metallic components and systems to any industry-specific or military standard. Capabilities: The...

  4. Advanced Active Acoustics Lab (AAAL)

    Data.gov (United States)

    Federal Laboratory Consortium — The Advanced Active Acoustics Lab (AAAL) is a state-of-the-art Undersea Warfare (USW) acoustic data analysis facility capable of both active and passive underwater...

  5. Common Systems Integration Lab (CSIL)

    Data.gov (United States)

    Federal Laboratory Consortium — The Common Systems Integration Lab (CSIL)supports the PMA-209 Air Combat Electronics Program Office. CSIL also supports development, test, integration and life cycle...

  6. New horizons: Australian nurses at work in World War I.

    Science.gov (United States)

    Harris, Kirsty

    2014-06-01

    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.

  7. The relationship between electronic nursing care reminders and missed nursing care.

    Science.gov (United States)

    Piscotty, Ronald J; Kalisch, Beatrice

    2014-10-01

    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.

  8. Patient hand hygiene practices in surgical patients.

    Science.gov (United States)

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

    2013-06-01

    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.

  9. Factors influencing nurses' participation in clinical research.

    Science.gov (United States)

    Jacobson, Ann F; Warner, Andrea M; Fleming, Eileen; Schmidt, Bruce

    2008-01-01

    Clinical research is necessary for developing nursing's body of knowledge and improving the quality of gastroenterology nursing care. The support and participation of nursing staff are crucial to conducting interventional research. Identification of characteristics of nurses and their work settings that facilitate or impede participation in research is needed. The purpose of this descriptive correlational study was to examine the effect of personal and professional characteristics and attitudes about nursing research on staff nurses' participation in a clinical nursing research project. A questionnaire measuring nurses' attitudes, perceptions of availability of support, and research use was distributed to staff nurses working on an endoscopy lab and two same-day surgery units where a nursing research study had recently been conducted. Investigator-developed items measured nurses' attitudes about the utility and feasibility of the interventions tested in the original study. A total of 36 usable questionnaires comprised the sample. Factor analysis of the two questionnaires resulted in three-factor (Importance of Research, Interest in Research, and Environment Support of Research) and two-factor (Value of Cognitive-Behavioral Interventions [CBIs] and Participation in Study) solutions, respectively. There were no statistically significant differences in mean scores for the five factors between nurses who did (n = 19) and those who did not (n = 17) participate in the original study. The Participation in Research Factor was significantly negatively correlated with years in nursing (r = -.336, p body of knowledge about factors that facilitate or impede staff nurses' involvement in research. This knowledge will be useful for nurse researchers planning intervention studies to forecast and foster staff nurse involvement in their projects. Findings may also be useful to nurse managers, nurse educators, and staff development personnel in assessing and promoting staff nurses

  10. Intraoperative monitoring technician: a new member of the surgical team.

    Science.gov (United States)

    Brown, Molly S; Brown, Debra S

    2011-02-01

    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.

  11. The role of the surgical care practitioner within the surgical team.

    Science.gov (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.

  12. Status of chemistry lab safety in Nepal.

    Science.gov (United States)

    Kandel, Krishna Prasad; Neupane, Bhanu Bhakta; Giri, Basant

    2017-01-01

    Chemistry labs can become a dangerous environment for students as the lab exercises involve hazardous chemicals, glassware, and equipment. Approximately one hundred thousand students take chemistry laboratory classes annually in Nepal. We conducted a survey on chemical lab safety issues across Nepal. In this paper, we assess the safety policy and equipment, protocols and procedures followed, and waste disposal in chemistry teaching labs. Significant population of the respondents believed that there is no monitoring of the lab safety in their lab (p<0.001). Even though many labs do not allow food and beverages inside lab and have first aid kits, they lack some basic safety equipment. There is no institutional mechanism to dispose lab waste and chemical waste is disposed haphazardly. Majority of the respondents believed that the safety training should be a part of educational training (p = 0.001) and they would benefit from short course and/or workshop on lab safety (p<0.001).

  13. 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 ...

  14. Big Data and Perioperative Nursing.

    Science.gov (United States)

    Westra, Bonnie L; Peterson, Jessica J

    2016-10-01

    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.

  15. Advanced Physics Lab at TCU

    Science.gov (United States)

    Quarles, C. A.

    2009-04-01

    The one semester, one credit hour Modern Physics Lab is viewed as a transition between the structured Physics 1 and 2 labs and junior/senior research. The labs focus on a variety of experiments built around a multichannel analyzer, various alpha, beta and gamma ray detectors and weak radioactive sources. Experiments include radiation safety and detection with a Geiger counter and NaI detector, gamma ray spectroscopy with a germanium detector, beta spectrum, alpha energy loss, gamma ray absorption, Compton effect, nuclear and positron annihilation lifetime, speed of gamma rays. Other experiments include using the analog oscilloscope, x-ray diffraction of diamond and using an SEM/EDX. Error analysis is emphasized throughout. The semester ends with an individual project, often an extension of one of the earlier experiments, and students present their results as a paper and an APS style presentation to the department.

  16. Surgical checklists: the human factor.

    LENUS (Irish Health Repository)

    O Connor, Paul

    2013-05-14

    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.

  17. Lab-on-fiber technology

    CERN Document Server

    Cusano, Andrea; Crescitelli, Alessio; Ricciardi, Armando

    2014-01-01

    This book focuses on a research field that is rapidly emerging as one of the most promising ones for the global optics and photonics community: the "lab-on-fiber" technology. Inspired by the well-established 'lab on-a-chip' concept, this new technology essentially envisages novel and highly functionalized devices completely integrated into a single optical fiber for both communication and sensing applications.Based on the R&D experience of some of the world's leading authorities in the fields of optics, photonics, nanotechnology, and material science, this book provides a broad and accurate de

  18. Ntal/Lab/Lat2

    DEFF Research Database (Denmark)

    Iwaki, Shoko; Jensen, Bettina M; Gilfillan, Alasdair M

    2007-01-01

    Non-T cell activation linker (NTAL)/linker for activation of B cells (LAB), now officially termed LAT2 (linker for activation of T cells 2) is a 25-30kDa transmembrane adaptor protein (TRAP) associated with glycolipid-enriched membrane fractions (GEMs; lipid rafts) in specific cell types of hemat......Non-T cell activation linker (NTAL)/linker for activation of B cells (LAB), now officially termed LAT2 (linker for activation of T cells 2) is a 25-30kDa transmembrane adaptor protein (TRAP) associated with glycolipid-enriched membrane fractions (GEMs; lipid rafts) in specific cell types...

  19. Guide for Instructors of Practical Nursing in South Carolina, Phase 2.

    Science.gov (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…

  20. Nursing, Nursing Education, and Anxiety.

    Science.gov (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…

  1. IBMISPS (International Brain Mapping & Intraoperative Surgical Planning Symposium)

    Science.gov (United States)

    2005-12-01

    zona incerta, zi and STN subparts): mean value of current leading a benefit 13 5. Conclusions Beyond the surgical spin-offs, in terms of time...associated wet -lab (UCI Chao Cancer Center) is performing a set of experiments to obtain a consistent set of parameters that should yield more...derived from the literature. Our model predictions accord with experiments on histocultures found in the literature. Our associated wet -lab is

  2. 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

    2014-01-01

    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.

  3. 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

    2011-01-01

    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.

  4. Cholecystectomy: Surgical Removal of the Gallbladder

    Science.gov (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. ...

  5. Medical-Surgical II. Teacher Edition.

    Science.gov (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,…

  6. Medical-Surgical I. Teacher Edition.

    Science.gov (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…

  7. Carrier Analysis Lab (CAL) – Aircraft/Weapons/Ship Compatibility Lab

    Data.gov (United States)

    Federal Laboratory Consortium — Purpose: The Carrier Analysis Lab (CAL) - Aircraft/Weapons/Ship Compatibility Lab located at the Naval Air Warfare Center Aircraft Division, Lakehurst, NJ provides...

  8. A dedicated lab for interventional cardiology and hybrid surgery

    Energy Technology Data Exchange (ETDEWEB)

    Berger, F. [KinderSpital Zurich (Switzerland). Department of Congenital Heart Disease/Pediatric Cardiology

    2004-07-01

    Pediatric interventionalists and surgeons treating congenital heart defects at the KinderSpital children's hospital in Zurich, Switzerland, use a ''hybrid'' approach to minimize the incidence and extent of open-heart surgery. The hybrid approach combines catheterization and surgical techniques in a single procedure, performed in the same lab. The combined cardiac cath lab/surgery suite is equipped with a Philips Integris Allura BH5000 9''/9'' biplane system, designed to meet all the requirements for pediatric applications, including the need to keep the quantity of contrast agent and the radiation dose to the minimum. Wherever possible, diagnostic X-ray examinations are supplemented by MR and Ultrasound. (orig.)

  9. A Simple, Successful Capacitor Lab

    Science.gov (United States)

    Ennis, William

    2011-01-01

    Capacitors are a fundamental component of modern electronics. They appear in myriad devices and in an enormous range of sizes. Although our students are taught the function and analysis of capacitors, few have the opportunity to use them in our labs.

  10. The Telecom Lab is moving

    CERN Multimedia

    IT Department

    2009-01-01

    As of 2nd March 2009, the Telecom Lab will move to Building 58 R-017. The Telecom Lab is the central point for all support questions regarding CERN mobile phone services (provision of SIM cards, requests for modifications of subscriptions, diagnostics for mobile phone problems, etc.). The opening hours as well as the contact details for the Telecom Lab remain unchanged: New location: Building 58 R-017 Opening hours: Every week day, from 11 a.m. to 12 a.m. Phone number: 72480 Email address: labo.telecom@cern.ch This change has no impact on support requests for mobile services. Users can still submit their requests concerning mobile phone subscriptions using the usual EDH form (https://edh.cern.ch/Document/GSM). The automatic message sent to inform users of their SIM card availability will be updated to indicate the new Telecom Lab location. You can find all information related to CERN mobile phone services at the following link: http://cern.ch/gsm CS Section - IT/CS group

  11. Education of student nurses - A systematic literature review

    DEFF Research Database (Denmark)

    Jeppesen, Kathrine Håland; Christiansen, Sytter; Frederiksen, Kirsten

    2017-01-01

    Objective The aim of this review was to explore the literature on the connection between teaching strategies and nursing students' learning to clarify which teaching strategies provide optimal learning experiences and outcomes. Data sources Sources dating from January 2000 to November 2016 were....... Conclusion Teaching in skills lab and simulation laboratories provides a positive learning environment and motivates student nurses to learn. It develops critical thinking and the student nurses' ability to take part in what Benner refers to as problem-based nursing. However, there is a need to transform...... teaching strategies so that student nurses do not experience classroom and clinical practice teaching as separate parts during their education....

  12. Flexible HVAC System for Lab or Classroom.

    Science.gov (United States)

    Friedan, Jonathan

    2001-01-01

    Discusses an effort to design a heating, ventilation, and air conditioning system flexible enough to accommodate an easy conversion of classrooms to laboratories and dry labs to wet labs. The design's energy efficiency and operations and maintenance are examined. (GR)

  13. Flexible HVAC System for Lab or Classroom.

    Science.gov (United States)

    Friedan, Jonathan

    2001-01-01

    Discusses an effort to design a heating, ventilation, and air conditioning system flexible enough to accommodate an easy conversion of classrooms to laboratories and dry labs to wet labs. The design's energy efficiency and operations and maintenance are examined. (GR)

  14. GeoLab Sample Handling System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Develop  a robotic sample handling/ manipulator system for the GeoLab glovebox. This work leverages from earlier GeoLab work and a 2012 collaboration with a...

  15. Updated version of an interim connection space LabPQR for spectral color reproduction: LabLab.

    Science.gov (United States)

    Cao, Qian; Wan, Xiaoxia; Li, Junfeng; Liang, Jingxing

    2016-09-01

    In this paper, we propose a new interim connection space (ICS) called LabLab, which is an updated version of LabPQR, to overcome the drawback that the last three dimensions of LabPQR have no definite colorimetric meanings. We extended and improved the method by which the first three dimensions of LabPQR are deduced to obtain an ICS consisting of two sets of CIELAB values under different illuminants, and the reconstructed spectra from LabLab were obtained by minimizing colorimetric errors by means of the computational formula of the CIE-XYZ tristimulus values combined with least-squares best fit. The improvement obtained from the proposed method was tested to compress and reconstruct the reflectance spectra of the 1950 Natural Color System color chips and more than 50,000 ISO SOCS color patches as well as six multispectral images acquired by multispectral image acquisition systems using 1600 glossy Munsell color chips as training samples. The performance was evaluated by the mean values of color differences between the original and reconstructed spectra under the CIE 1931 standard colorimetric observer and the CIE standard illuminants D50, D55, D65, D75, F2, F7, F11, and A as well as five multichip white LED light sources. The mean and maximum values of the root mean square errors between the original and reconstructed spectra were also calculated. The experimental results show that the proposed three LabLab interim connection spaces significantly outperform principal component analysis, LabPQR, XYZLMS, Fairman-Brill, and LabRGB in colorimetric reconstruction accuracy at the cost of slight reduction of spectral reconstruction accuracy and illuminant independence of color differences of the suggested LabLab interim connection spaces outperform other interim connection spaces. In addition, the presented LabLab interim connection spaces could be quite compatible with the extensively used colorimetric management system since each dimension has definite colorimetric

  16. The Development of MSFC Usability Lab

    Science.gov (United States)

    Cheng, Yiwei; Richardson, Sally

    2010-01-01

    This conference poster reviews the development of the usability lab at Marshall Space Flight Center. The purpose of the lab was to integrate a fully functioning usability laboratory to provide a resource for future human factor assessments. and to implement preliminary usability testing on a MSFC website to validate the functionality of the lab.

  17. NI新款LabVIEW工具包

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    美国国家仪器有限公司(National Instruments,NI)近日推出新的LabVIEW图形化开发环境的软件工程工具——LabVIEW单元测试工具包和LabVIEW桌面执行追踪工具包。

  18. Exclusive processes at Jefferson Lab

    Indian Academy of Sciences (India)

    Haiyan Gao

    2003-11-01

    Mapping the transition from strongly interacting, non-perturbative quantum chromodynamics, where nucleon–meson degrees of freedom are effective to perturbative QCD of quark and gluon degrees of freedom, is one of the most fundamental, challenging tasks in nuclear and particle physics. Exclusive processes such as proton–proton elastic scattering, meson photoproduction, and deuteron photodisintegration have been pursued extensively at many laboratories over the years in the search for such a transition, particularly at Jefferson Lab in recent years, taking the advantage of the high luminosity capability of the CEBAF facility. In this talk, I review recent results from Jefferson Lab on deuteron photodisintegration and photopion production processes and the future 12 GeV program.

  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

    2016-01-01

    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. The Defining Characteristics of Urban Living Labs

    Directory of Open Access Journals (Sweden)

    Kris Steen

    2017-07-01

    Full Text Available The organization of supported and sustainable urban interventions is challenging, with multiple actors involved, fragmented decision-making powers, and multiple values at stake. Globally, urban living labs have become a fashionable phenomenon to tackle this challenge, fostering the development and implementation of innovation, experimentation, and knowledge in urban, real-life settings while emphasizing the important role of participation and co-creation. However, although urban living labs could in this way help cities to speed up the sustainable transition, urban living lab experts agree that, in order to truly succeed in these ambitious tasks, the way urban living labs are being shaped and steered needs further research. Yet, they also confirm the existing variation and opaqueness in the definition of the concept. This article contributes to conceptual clarity by developing an operationalized definition of urban living labs, which has been used to assess 90 sustainable urban innovation projects in the city of Amsterdam. The assessment shows that the majority of the projects that are labelled as living labs do not include one or more of the defining elements of a living lab. In particular, the defining co-creation and development activities were found to be absent in many of the projects. This article makes it possible to categorize alleged living lab projects and distill the “true” living labs from the many improperly labelled or unlabelled living labs, allowing more specific analyses and, ultimately, better targeted methodological recommendations for urban living labs.

  1. NURSE STAFFING AND MEDICATION ERRORS: CROSS SECTIONAL OR LONGITUDINAL RELATIONSHIPS?

    OpenAIRE

    2009-01-01

    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. LabVIEW 8 student edition

    CERN Document Server

    Bishop, Robert H

    2007-01-01

    For courses in Measurement and Instrumentation, Electrical Engineering lab, and Physics and Chemistry lab. This revised printing has been updated to include new LabVIEW 8.2 Student Edition. National Instruments' LabVIEW is the defacto industry standard for test, measurement, and automation software solutions. With the Student Edition of LabVIEW, students can design graphical programming solutions to their classroom problems and laboratory experiments with software that delivers the graphical programming capabilites of the LabVIEW professional version. . The Student Edition is also compatible with all National Instruments data acquisition and instrument control hardware. Note: The LabVIEW Student Edition is available to students, faculty, and staff for personal educational use only. It is not intended for research, institutional, or commercial use. For more information about these licensing options, please visit the National Instruments website at (http:www.ni.com/academic/)

  3. 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)

    王雪梅

    2016-01-01

    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。

  4. Digital media labs in libraries

    CERN Document Server

    Goodman, Amanda L

    2014-01-01

    Families share stories with each other and veterans reconnect with their comrades, while teens edit music videos and then upload them to the web: all this and more can happen in the digital media lab (DML), a gathering of equipment with which people create digital content or convert content that is in analog formats. Enabling community members to create digital content was identified by The Edge Initiative, a national coalition of leading library and local government organizations, as a library technology benchmark. Surveying academic and public libraries in a variety of settings and sharing a

  5. Double success for neutrino lab

    CERN Multimedia

    2010-01-01

    "The Gran Sasso National Laboratory in Italy is celebrating two key developments in the field of neutrino physics. Number one is the first ever detection, by the OPERA experiement, of possible tau neutrino that has switched its identity from a muon neutrino as it travelled form its origins at CERN in Switzerland to the Italian lab. Number two is the successful start-up of the ICARUS detector, which, like OPERA, is designed to study neutrinos that "oscillate" between types" (0.5 pages)

  6. Laser safety in the lab

    CERN Document Server

    Barat, Ken L

    2012-01-01

    There is no more challenging setting for laser use than a research environment. In almost every other setting the laser controls count on engineering controls, and human exposure is kept to a minimum. In research, however, the user often manipulates the optical layout and thereby places him or herself in peril, but this does not mean that accidents and injury are unavoidable. On the contrary, laser accidents can be avoided by following a number of simple approaches. [i]Laser Safety in the Lab[/i] provides the laser user and laser safety officer with practical guidelines from housekeeping to ey

  7. Nursing Reclaims its Role.

    Science.gov (United States)

    Diers, Donna

    1982-01-01

    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

    2014-01-01

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

    Directory of Open Access Journals (Sweden)

    Ali Abdel Raheem

    2017-04-01

    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.

  10. 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

    1997-04-01

    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

  11. Nursing diagnosis

    OpenAIRE

    Ščavničar, Ema

    2015-01-01

    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...

  12. Nursing care for patients undergoing transoral robotic surgery.

    Science.gov (United States)

    Murray, Shannon

    2009-01-01

    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.

  13. Nursing Homes

    Science.gov (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 ...

  14. Surgical travellers: tapestry to Bayeux.

    Science.gov (United States)

    Hedley-Whyte, John; Milamed, Debra R

    2014-09-01

    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

  15. Nursing: What's a Nurse Practitioner?

    Science.gov (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 ...

  16. Curricular Adaptations in Introductory Physics Labs

    Science.gov (United States)

    Dreyfus, Benjamin W.; Ewell, Mary; Moore, Kimberly

    2017-01-01

    When curricular materials are disseminated to new sites, there can be a tension between fidelity to the original intent of the developers and adaptation to local needs. In this case study we look at a lab activity that was initially developed for an introductory physics for the life sciences (IPLS) course at the University of Maryland, then implemented at George Mason University with significant adaptations. The goals of the two implementations were overlapping, but also differed in ways that are reflected in the two versions of the lab. We compare student lab report data from the two sites to examine the impacts of the adaptation on how students engaged with the lab.

  17. MatLab Script and Functional Programming

    Science.gov (United States)

    Shaykhian, Gholam Ali

    2007-01-01

    MatLab Script and Functional Programming: MatLab is one of the most widely used very high level programming languages for scientific and engineering computations. It is very user-friendly and needs practically no formal programming knowledge. Presented here are MatLab programming aspects and not just the MatLab commands for scientists and engineers who do not have formal programming training and also have no significant time to spare for learning programming to solve their real world problems. Specifically provided are programs for visualization. The MatLab seminar covers the functional and script programming aspect of MatLab language. Specific expectations are: a) Recognize MatLab commands, script and function. b) Create, and run a MatLab function. c) Read, recognize, and describe MatLab syntax. d) Recognize decisions, loops and matrix operators. e) Evaluate scope among multiple files, and multiple functions within a file. f) Declare, define and use scalar variables, vectors and matrices.

  18. Improved LabVIEW Code Generation

    National Research Council Canada - National Science Library

    Evita Vavilina; Gatis Gaigals

    2016-01-01

    .... LabVIEW provides highly convenient environment for simulation development and also tools for generation of simulation environment that can include simulation itself and collection of simulation data...

  19. 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

    2015-01-01

    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

  20. Nursing: What's a Nurse Practitioner?

    Science.gov (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 ...

  1. Nutrition for Nurses: Nursing 245.

    Science.gov (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…

  2. Clinical profile, nursing diagnoses and nursing care for postoperative bariatric surgery patients.

    Science.gov (United States)

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

    2016-03-01

    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.

  3. [Important role of a nurse parctitioner-like specialized registered nurse in a cardiac surgery team].

    Science.gov (United States)

    Izutani, Hironori

    2012-11-01

    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.

  4. Project Alpha. A nursing elective implemented in a general systems theory curriculum.

    Science.gov (United States)

    Beitz, J M

    1992-05-01

    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.

  5. 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)

    姜金娟

    2014-01-01

    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

  6. Jefferson Lab: Present and Future

    Science.gov (United States)

    Rossi, Patrizia

    2016-08-01

    The continuous electron beam accelerator facility and associated experimental equipment at Jefferson Lab comprise a unique facility for nuclear physics research whose upgrade is presently underway, with completion expected in 2017. The upgraded facility will accelerate electron beams to 11 GeV for experiments in the existing Halls A, B and C. In addition, a 12 GeV beam can be provided to a new experimental hall, Hall D, to generate a 9 GeV tagged photon beam. This upgrade will enable a new experimental program with substantial discovery potential to address important topics in hadronic, nuclear, and electroweak physics. Further in the future, it is envisioned that the Laboratory will evolve into an electron-ion colliding beam facility.

  7. Famed lab seeks big grid

    CERN Multimedia

    Lillington, K

    2001-01-01

    DUBLIN, Ireland -- CERN, the famed Swiss high-energy particle physics lab, has a problem. It's about to start generating more data than any computer or network anywhere in the world is able to analyze. That prospect has led CERN to drive a major European project to create a vast "grid" research network of computers across Europe. When completed, the 10 million euro, Linux-based endeavor called DataGRID, will become a principal European computing resource for researchers of many disciplines. "I believe grid computing will revolutionize the way we compute, in much the same way as the World Wide Web and Internet changed the way we communicate," said John Ellis, a theoretical physicist and adviser to the director general of CERN.

  8. Nursing workload at a gastroenterology unit.

    Science.gov (United States)

    Panunto, Marcia Raquel; Guirardello, Edinêis de Brito

    2009-01-01

    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.

  9. The documentation practice of perioperative nurses

    DEFF Research Database (Denmark)

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

    2016-01-01

    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...

  10. Aspects of computer vision in surgical endoscopy

    Science.gov (United States)

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

    1993-09-01

    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.

  11. Micro-surgical endodontics.

    Science.gov (United States)

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

    2014-02-01

    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.

  12. Surgical innovation as sui generis surgical research.

    Science.gov (United States)

    Lotz, Mianna

    2013-12-01

    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.

  13. Innovations in STEM education: the Go-Lab federation of online labs

    NARCIS (Netherlands)

    Jong, de Ton; Sotiriou, Sofoklis; Gillet, Dennis

    2014-01-01

    The Go-Lab federation of online labs opens up virtual laboratories (simulation), remote laboratories (real equipment accessible at distance) and data sets from physical laboratory experiments (together called “online labs”) for large-scale use in education. In this way, Go-Lab enables inquiry-based

  14. The perfectly motivated nurse and the others: workplace and personal characteristics impact preference of nursing tasks.

    Science.gov (United States)

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

    2014-11-01

    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.

  15. Programming Arduino with LabVIEW

    CERN Document Server

    Schwartz, Marco

    2015-01-01

    If you already have some experience with LabVIEW and want to apply your skills to control physical objects and make measurements using the Arduino sensor, this book is for you. Prior knowledge of Arduino and LabVIEW is essential to fully understand the projects detailed in this book.

  16. Innovation - A view from the Lab

    Science.gov (United States)

    The USDA Ag Lab in Peoria helps bridge the gap between agricultural producers and commercial manufacturers. In 2015, the Ag Lab, officially known as the Agricultural Research Service (ARS) National Center for Agricultural Utilization Research (NCAUR), is celebrating 75 years of research in Peoria. T...

  17. The DVCS program at Jefferson Lab

    Energy Technology Data Exchange (ETDEWEB)

    Niccolai, Silvia [Institut de Physique Nucleaire, Orsay, France

    2014-06-01

    Recent promising results, obtained at Jefferson Lab, on cross sections and asymmetries for DVCS and their link to the Generalized Parton Distributions are the focus of this paper. The extensive experimental program to measure DVCS with the 12-GeV-upgraded CEBAF in three experimental Halls (A, B, C) of Jefferson Lab, will also be presented.

  18. Latest results from FROST at Jefferson Lab

    Directory of Open Access Journals (Sweden)

    Ritchie B.G.

    2014-06-01

    Full Text Available The spectrum of broad and overlapping nucleon excitations can be greatly clarified by use of a polarized photon beam incident on a polarized target in meson photoproduction experiments. At Jefferson Lab, a program of such measurements has made use of the Jefferson Lab FROzen Spin Target (FROST. An overview of preliminary results are presented.

  19. Hydrogel Beads: The New Slime Lab?

    Science.gov (United States)

    Brockway, Debra; Libera, Matthew; Welner, Heidi

    2011-01-01

    Creating slime fascinates students. Unfortunately, though intrigue is at its peak, the educational aspect of this activity is often minimal. This article describes a chemistry lab that closely relates to the slime lab and allows high school students to explore the concepts of chemical bonding, properties, and replacement reactions. It involves the…

  20. [Surgical scrub: evaluation of its adequacy in preventing biological risks in surgery: I. Its use in surgery].

    Science.gov (United States)

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

    2000-03-01

    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.

  1. Nursing the Nursing Shortage Back to Health.

    Science.gov (United States)

    Weisbord, Anne

    1992-01-01

    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)

  2. Nursing the Nursing Shortage Back to Health.

    Science.gov (United States)

    Weisbord, Anne

    1992-01-01

    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)

  3. Communication Method between LabVIEW and Excel%LabVIEW与Excel的通信方法

    Institute of Scientific and Technical Information of China (English)

    陈金平; 王生泽; 吴文英

    2006-01-01

    在虚拟仪器开发过程中,需要将一些多路采集数据存储在Excel表格中.LabVIEW是一种方便灵活的虚拟仪器开发环境,而LabVIEW中的DDE是Windows操作系统中的一种基于消息的协议.利用LabVIEW的DDE功能可以很好地实现LabVIEW与Excel的数据通信.通过具体例子叙述了LabVIEW的DDE功能,这种功能使得LabVIEW与Excel的数据交换方便快捷,实现方法简单明了,实践表明DDE是增强LabVIEW整体功能的一条有效途径.

  4. Surgical safety checklists briefings: Perceived efficacy and team member involvement.

    Science.gov (United States)

    McDowell, D S; McComb, S

    2016-06-01

    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.

  5. Nurse managers' perceptions and experiences regarding staff nurse empowerment: a qualitative study.

    Science.gov (United States)

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

    2015-01-01

    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

  6. 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

    2007-03-01

    , 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.

  7. Nursing Revalidation

    OpenAIRE

    F. Cannon; McCutcheon, K.

    2016-01-01

    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

  8. A profile of European ICU nursing.

    Science.gov (United States)

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

    1998-09-01

    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.

  9. The meaning of care for operating room nursing

    OpenAIRE

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

    2016-01-01

    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 ...

  10. Battlefield Lessons: The Forward Air Surgical Team (FAST) Response

    Science.gov (United States)

    2011-02-24

    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, http://www.ncbi.nlm.nih.gov/pubmed/12755185...service members of the United States of America enjoy the latest aviation technology available. Sikorsky’s UH-60 “Blackhawk” is the most current

  11. 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

    2015-01-01

    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

  12. Interactive Videoconference Supported Teaching in Undergraduate Nursing: A Case Study for ECG

    Science.gov (United States)

    Celikkan, Ufuk; Senuzun, Fisun; Sari, Dilek; Sahin, Yasar Guneri

    2013-01-01

    This paper describes how interactive videoconference can benefit the Electrocardiography (ECG) skills of undergraduate nursing students. We have implemented a learning system that interactively transfers the visual and practical aspects of ECG from a nursing skills lab into a classroom where the theoretical part of the course is taught. The…

  13. Fostering nursing ethics for practical nursing

    OpenAIRE

    森田, 敏子; モリタ, トシコ; Morita, Toshiko

    2014-01-01

    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.

  14. Lab-on-a-Chip

    Science.gov (United States)

    2004-01-01

    Labs on chips are manufactured in many shapes and sizes and can be used for numerous applications, from medical tests to water quality monitoring to detecting the signatures of life on other planets. The eight holes on this chip are actually ports that can be filled with fluids or chemicals. Tiny valves control the chemical processes by mixing fluids that move in the tiny channels that look like lines, connecting the ports. Scientists at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama designed this chip to grow biological crystals on the International Space Station. Through this research, they discovered that this technology is ideally suited for solving the challenges of the Vision for Space Exploration. For example, thousands of chips the size of dimes could be loaded on a Martian rover looking for biosignatures of past or present life. Other types of chips could be placed in handheld devices used to monitor microbes in water or to quickly conduct medical tests on astronauts. (NASA/MSFC/D.Stoffer)

  15. Transformation of admission interview to documentation for nursing practice

    DEFF Research Database (Denmark)

    Højskov, Ida E; Glasdam, Stinne

    2014-01-01

    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...

  16. Exploring nurses' confirmed expectations regarding health IT: a phenomenological study.

    Science.gov (United States)

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

    2014-02-01

    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.

  17. 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

    2015-01-01

    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。

  18. Designing Viable Business Models for Living Labs

    Directory of Open Access Journals (Sweden)

    Bernhard R. Katzy

    2012-09-01

    Full Text Available Over 300 regions have integrated the concept of living labs into their economic development strategy since 2006, when the former Finnish Prime Minister Esko Aho launched the living lab innovation policy initiative during his term of European presidency. Despite motivating initial results, however, success cases of turning research into usable new products and services remain few and uncertainty remains on what living labs actually do and contribute. This practitioner-oriented article presents a business excellence model that shows processes of idea creation and team mobilization, new product development, user involvement, and entrepreneurship through which living labs deliver high-potential investment opportunities. Customers of living labs are identified as investors such as venture capitalists or industrial firms because living labs can generate revenue from them to create their own sustainable business model. The article concludes that living labs provide extensive support “lab” infrastructure and that it remains a formidable challenge to finance it, which calls for a more intensive debate.

  19. Experiences with lab-centric instruction

    Science.gov (United States)

    Titterton, Nathaniel; Lewis, Colleen M.; Clancy, Michael J.

    2010-06-01

    Lab-centric instruction emphasizes supervised, hands-on activities by substituting lab for lecture time. It combines a multitude of pedagogical techniques into the format of an extended, structured closed lab. We discuss the range of benefits for students, including increased staff interaction, frequent and varied self-assessments, integrated collaborative activities, and a systematic sequence of activities that gradually increases in difficulty. Instructors also benefit from a deeper window into student progress and understanding. We follow with discussion of our experiences in courses at U.C. Berkeley, and using data from some of these investigate the effects of lab-centric instruction on student learning, procrastination, and course pacing. We observe that the lab-centric format helped students on exams but hurt them on extended programming assignments, counter to our hypothesis. Additionally, we see no difference in self-ratings of procrastination and limited differences in ratings of course pace. We do find evidence that the students who choose to attend lab-centric courses are different in several important ways from students who choose to attend the same course in a non-lab-centric format.

  20. Nursing informatics and nursing ethics

    DEFF Research Database (Denmark)

    Kaltoft, Mette Kjer

    2013-01-01

    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...

  1. Hernia Surgical Mesh Implants

    Science.gov (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) ...

  2. Urogynecologic Surgical Mesh Implants

    Science.gov (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). ...

  3. American Pediatric Surgical Association

    Science.gov (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 / ...

  4. Optimizing surgical f

    Directory of Open Access Journals (Sweden)

    Sabry Mohamed Amin

    2016-07-01

    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.

  5. Abortion - surgical - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000658.htm 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 ...

  6. e-REAL: Enhanced Reality Lab

    Directory of Open Access Journals (Sweden)

    Fernando Salvetti

    2014-10-01

    Full Text Available e-REAL - enhanced reality lab - is a fully-immersive and multitasking environment, designed to experience challenging situations in a group setting, engaging all participants simultaneously on different levels: with peers, thematic experts and learning facilitators, both on site and remotely. e-REAL is a lab based on visual thinking and knowledge visualization, facilitated by enhanced (or augmented reality tools. It is a highly interactive and face-to-face lab that promotes proactive data and information research (everything is available, but learners have to actively look for it - allowing knowledge sharing with remote teams and integrating training on soft skills with those that are technical and specialized.

  7. Surgical team turnover and operative time: An evaluation of operating room efficiency during pulmonary resection.

    Science.gov (United States)

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

    2016-05-01

    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.

  8. Student preparation and the power of visual input in veterinary surgical education

    DEFF Research Database (Denmark)

    Langebæk, Rikke; Nielsen, Søren Saxmose; Koch, Bodil Cathrine

    2016-01-01

    In recent years, veterinary educational institutions have implemented alternative teaching methods, including video demonstrations of surgical procedures. However, the power of the dynamic visual input from videos in relation to recollection of a surgical procedure has never been evaluated. The aim...... in a terminal pig lab. Preparation for the pig lab consisted of homework (textbook, online material, including videos), lecture, cadaver lab, and toy animal models in a skills lab. In the instructional video, a detail was used that was not described elsewhere. Results show that 60% of the students used a visual...... but a significant association (p = .002) with educational input. Our results illustrate the power of a visual input and support prior findings that knowledge is constructed from multiple sources of information....

  9. 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.

    1999-01-01

    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

  10. 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

    1999-01-01

    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

  11. 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

  12. Teachers' Perspectives on Online Virtual Labs vs. Hands-On Labs in High School Science

    Science.gov (United States)

    Bohr, Teresa M.

    This study of online science teachers' opinions addressed the use of virtual labs in online courses. A growing number of schools use virtual labs that must meet mandated laboratory standards to ensure they provide learning experiences comparable to hands-on labs, which are an integral part of science curricula. The purpose of this qualitative case study was to examine teachers' perceptions of the quality and effectiveness of high school virtual labs. The theoretical foundation was constructivism, as labs provide student-centered activities for problem solving, inquiry, and exploration of phenomena. The research questions focused on experienced teachers' perceptions of the quality of virtual vs. hands-on labs. Data were collected through survey questions derived from the lab objectives of The Next Generation Science Standards . Eighteen teachers rated the degree of importance of each objective and also rated how they felt virtual labs met these objectives; these ratings were reported using descriptive statistics. Responses to open-ended questions were few and served to illustrate the numerical results. Many teachers stated that virtual labs are valuable supplements but could not completely replace hands-on experiences. Studies on the quality and effectiveness of high school virtual labs are limited despite widespread use. Comprehensive studies will ensure that online students have equal access to quality labs. School districts need to define lab requirements, and colleges need to specify the lab experience they require. This study has potential to inspire positive social change by assisting science educators, including those in the local school district, in evaluating and selecting courseware designed to promote higher order thinking skills, real-world problem solving, and development of strong inquiry skills, thereby improving science instruction for all high school students.

  13. Student Preparation and the Power of Visual Input in Veterinary Surgical Education: An Empirical Study.

    Science.gov (United States)

    Langebæk, Rikke; Nielsen, Søren Saxmose; Koch, Bodil Cathrine; Berendt, Mette

    2016-01-01

    In recent years, veterinary educational institutions have implemented alternative teaching methods, including video demonstrations of surgical procedures. However, the power of the dynamic visual input from videos in relation to recollection of a surgical procedure has never been evaluated. The aim of this study was to investigate how veterinary surgical students perceived the influence of different educational materials on recollection of a surgical procedure. Furthermore, we investigated if surgical technique was associated with a certain method of recollection or use of educational material. During a basic surgical skills course, 112 fourth-year veterinary students participated in the study by completing a questionnaire regarding method of recollection, influence of individual types of educational input, and homework preparation. Furthermore, we observed students performing an orchiectomy in a terminal pig lab. Preparation for the pig lab consisted of homework (textbook, online material, including videos), lecture, cadaver lab, and toy animal models in a skills lab. In the instructional video, a detail was used that was not described elsewhere. Results show that 60% of the students used a visual dynamic method as their main method of recollection and that video was considered the most influential educational input with respect to recollection of a specific procedure. Observation of students' performance during the orchiectomy showed no clear association with students' method of recollection but a significant association (p=.002) with educational input. Our results illustrate the power of a visual input and support prior findings that knowledge is constructed from multiple sources of information.

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

    OpenAIRE

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

    2015-01-01

    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...

  15. Labs not in a lab: A case study of instructor and student perceptions of an online biology lab class

    Science.gov (United States)

    Doiron, Jessica Boyce

    Distance learning is not a new phenomenon but with the advancement in technology, the different ways of delivering an education have increased. Today, many universities and colleges offer their students the option of taking courses online instead of sitting in a classroom on campus. In general students like online classes because they allow for flexibility, the comfort of sitting at home, and the potential to save money. Even though there are advantages to taking online classes, many students and instructors still debate the effectiveness and quality of education in a distant learning environment. Many universities and colleges are receiving pressure from students to offer more and more classes online. Research argues for both the advantages and disadvantages of online classes and stresses the importance of colleges and universities weighing both sides before deciding to adopt an online class. Certain classes may not be suitable for online instruction and not all instructors are suitable to teach online classes. The literature also reveals that there is a need for more research on online biology lab classes. With the lack of information on online biology labs needed by science educators who face the increasing demand for online biology labs, this case study hopes to provide insight into the use of online biology lab classes and the how students and an instructor at a community college in Virginia perceive their online biology lab experience as well as the effectiveness of the online labs.

  16. Foucault could have been an operating room nurse.

    Science.gov (United States)

    Riley, Robin; Manias, Elizabeth

    2002-08-01

    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.

  17. 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

    2012-01-01

    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.

  18. Laboratory Professionals: Who's Who in the Lab

    Science.gov (United States)

    ... such as in clinical chemistry, immunology, molecular pathology, microbiology, or blood bank /transfusion service. MLSs/MTs have ... Many labs are looking for laboratory professionals with advanced degrees and experience. « Prev | Next » Proudly sponsored by ... ...

  19. Photonics and Fiber Optics Processor Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Photonics and Fiber Optics Processor Lab develops, tests and evaluates high speed fiber optic network components as well as network protocols. In addition, this...

  20. Berkeley Lab Laser Accelerator (BELLA) facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Berkeley Lab Laser Accelerator (BELLA) facility (formerly LOASIS) develops advanced accelerators and radiation sources. High gradient (1-100 GV/m) laser-plasma...

  1. Podcast: Scientific Integrity and Lab Fraud

    Science.gov (United States)

    Nov 25, 2015. Dr. Bruce Woods, a chemist in the Electronic Crimes Division within the OIG’s Office of Investigations discusses his recent webinar for the Association of Public Health Laboratories on lab fraud.

  2. Thanatology for Everyone: Developmental Labs and Workshops

    Science.gov (United States)

    O'Connell, Walter E.; And Others

    1977-01-01

    In an effort to "treat" the growing death concerns of many medical staffs, an experiential death and dying lab was created. Its evolution to meet changing needs is discussed, as well as future potential for work in this area. (Author)

  3. European labs fight back against cuts

    CERN Multimedia

    König, R

    1997-01-01

    Germany's 1997 budget contains cuts amounting to 3.7% in funding of domestic research programs and in contributions to international labs. Contributions will be cut to the European Space Agency, the European Synchrotron facility and CERN.

  4. Electro-Optic System Development Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The Electro-Optic System Development Lab serves as a development facility for electro-optical systems ranging from visible through long wave infrared. Capabilities...

  5. Årsrapport 2007: Knowledge Lab

    DEFF Research Database (Denmark)

    Helms, Niels Henrik

    Denne rapport beskriver Knowledge Labs udvikling og aktiviteter i 2007. Knowledge Lab har været og ikke mindst er et forsknings- og udviklingslaboratorium ved Syd- dansk Universitet. Det blev etableret i 2002 som en del af den jysk-fynske it-satsning. Laboratoriet beskæftiger en lang række forskere...... og projektmedarbejdere, som tilsammen repræsenterer kompetencer inden for fokusområderne: digital kompetenceudvikling, vidensledelse og vidensudvikling. Knowledge Lab arbejder med fokusområderne i et gensidigt betinget samspil mellem forskning, udvikling og anvendelse. Det forskningsmæssige grundlag...... for Knowledge Lab er: Grundlæggende og anvendt vidensteori med særligt henblik på brugen af digitale teknologier til understøttelse af videnstilegnelse, vidensdeling og vidensskabelse. Arbejds- og forskningsmåden er partnerskaber med private og offentlige virksomheder....

  6. Virtual labs in Leonardo da Vinci

    Directory of Open Access Journals (Sweden)

    Stanislaw Nagy

    2006-10-01

    Full Text Available This paper discusses the problem of virtual lab capabilities in the e-learning. Using combination of web conferencing and "virtual labs" capabilities, a new quality distance learning teaching is now in preparation and will be included in the course teaching to produce interactive, online simulations for the natural gas engineering studies. The activities are designed to enhance the existing curriculum and to include online assessments. A special care is devoted to the security problem between a server and a client computer. Several examples of the virtual labs related to the PVT thermodynamics, fluid flow, the natural gas well-testing, and thev gas network flow are prepared and tested. A major challenge for the 'CELGAS' system is in managing the delicate balance between the student collaboration and the isolation. Students may be encouraged to collaborate and work with each other, simulating their exploration of the lab material.

  7. Airborne Low-Frequency Sonar (ALFS) Lab

    Data.gov (United States)

    Federal Laboratory Consortium — The ALFS lab is dedicated to support acoustic data analysis and processing software support to the AN/AQS-22 dipping sonar system. It includes stand-alone Software...

  8. Developing an Advanced Lab course from scratch

    Science.gov (United States)

    Michalak, Rudi

    2012-10-01

    A few years ago the Alpha group in APS organized faculty with interests in advanced lab courses in physics. At the University of Wyoming, we re-launched an advanced lab course after doing more than 15 years without one. Our majors had to take an electronic course in the Electrical Engineering department to get familiar with any kind of electronic equipment. Now we are in the fourth teaching session of the advanced Modern Physics lab and we will expand the course into a two-term course beginning spring 2013. Forty-five majors have gone through our labs, We developed an oral exam tradition, which is now beginning to lend our department upper level outcome assessment credibility for campus wide assessment.

  9. Factors influencing nurses' perceptions of occupational safety.

    Science.gov (United States)

    Samur, Menevse; Intepeler, Seyda Seren

    2017-01-02

    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.

  10. Euronet Lab : a Cloud Based Laboratory Environment

    OpenAIRE

    Correia, Raúl Cordeiro; Fonseca, José Manuel; Donnellan, Andrew

    2012-01-01

    A large number of virtual and remote labs connected to the internet is already available nowadays. However, they usually are isolated and independent systems, unable to cooperate and complement each other. This lack of interconnection and interoperability leads, consequently, to the duplication of efforts in order to develop what could be easily shared and reused. Therefore, the integration of different platforms can speed up the development of virtual labs and downsize the barriers of usi...

  11. Learning Parallel Computations with ParaLab

    OpenAIRE

    Kozinov, E.; Shtanyuk, A.

    2015-01-01

    In this paper, we present the ParaLab teachware system, which can be used for learning the parallel computation methods. ParaLab provides the tools for simulating the multiprocessor computational systems with various network topologies, for carrying out the computational experiments in the simulation mode, and for evaluating the efficiency of the parallel computation methods. The visual presentation of the parallel computations taking place in the computational experiments is the key feature ...

  12. Quality management system at K-Lab

    Energy Technology Data Exchange (ETDEWEB)

    Bosio, J. (K-Lab (NO))

    1990-01-01

    This report describes how a Quality Management System has been organised at Kaarstoe metering and technology laboratory (K-Lab). Implementation of new technologies will become easier to carry through if they have been developed within a Quality Management System according to existing international standards. K-Lab has applied for accreditation to the Norwegian Calibration Service which among other requirements requests a proper Quality Management System. 2 refs., 4 figs.

  13. German lab wins linear collider contest

    CERN Multimedia

    Cartlidge, Edwin

    2004-01-01

    Particle physicists have chosen to base the proposed International Linear Collider on superconducting technology developed by an international collaboration centred on the DESY lab in Germany. The superconducting approach was chosen by an internatinal panel ahead of a rival technology developed at Stanford in the US and the KEK lab in Japan. The eagerly-awaited decision was announced at the International Conference on High Energy Physics in Beijing today (½ page)

  14. Fifteen years experience: Egyptian metabolic lab

    Directory of Open Access Journals (Sweden)

    Ekram M. Fateen

    2014-10-01

    Conclusion: This study illustrates the experience of the reference metabolic lab in Egypt over 15 years. The lab began metabolic disorder screening by using simple diagnostic techniques like thin layer chromatography and colored tests in urine which by time updated and upgraded the methods to diagnose a wide range of disorders. This study shows the most common diagnosed inherited inborn errors of metabolism among the Egyptian population.

  15. mQoL smart lab

    DEFF Research Database (Denmark)

    De Masi, Alexandre; Ciman, Matteo; Gustarini, Mattia

    2016-01-01

    serve quality research in all of them. In this paper, we present own "mQoL Smart Lab" for interdisciplinary research efforts on individuals' "Quality of Life" improvement. We present an evolution of our current in-house living lab platform enabling continuous, pervasive data collection from individuals......' smartphones. We discuss opportunities for mQoL stemming from developments in machine learning and big data for advanced data analytics in different disciplines, better meeting the requirements put on the platform....

  16. S'Cool LAB Summer CAMP 2017

    CERN Multimedia

    Woithe, Julia

    2017-01-01

    The S’Cool LAB Summer CAMP is an opportunity for high-school students (aged 16-19) from all around the world to spend 2 weeks exploring the fascinating world of particle physics. The 24 selected participants spend their summer at S’Cool LAB, CERN’s hands-on particle physics learning laboratory, for an epic programme of lectures and tutorials, team research projects, visits of CERN’s research installations, and social activities.

  17. Artists-in-Labs: Processes of Inquiry

    Science.gov (United States)

    Scott, Jill

    This book verifies the need for the arts and the sciences to work together in order to develop more creative and conceptual approaches to innovation and presentation. By blending ethnographical case studies, scientific viewpoints and critical essays, the focus of this research inquiry is the lab context. For scientists, the lab context is one of the most important educational experiences. For contemporary artists, laboratories are inspiring spaces to investigate, share know-how transfer and search for new collaboration potentials.

  18. 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

    2012-01-01

      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

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

    Directory of Open Access Journals (Sweden)

    Hurtado Juan J

    2012-06-01

    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

  20. 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)

    郭冬

    2013-01-01

    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

  1. Teleoperation in surgical robotics--network latency effects on surgical performance.

    Science.gov (United States)

    Lum, Mitchell J H; Rosen, Jacob; King, Hawkeye; Friedman, Diana C W; Lendvay, Thomas S; Wright, Andrew S; Sinanan, Mika N; Hannaford, Blake

    2009-01-01

    A teleoperated surgical robotic system allows surgical procedures to be conducted across long distances while utilizing wired and wireless communication with a wide spectrum of performance that may affect the outcome. An open architecture portable surgical robotic system (Raven) was developed for both open and minimally invasive surgery. The system has been the subject of an intensive telesurgical experimental protocol aimed at exploring the boundaries of the system and surgeon performance during a series of field experiments in extreme environments (desert and underwater) teleportation between US, Europe, and Japan as well as lab experiments under synthetic fixed time delay. One standard task (block transfer emulating tissue manipulation) of the Fundamentals of Laparoscopic Surgery (FLS) training kit was used for the experimental protocol. Network characterization indicated a typical time delay in the range of 16-172 ms in field experiments. The results of the lab experiments showed that the completion time of the task as well as the length of the tool tip trajectory significantly increased (alphaerrors (block drooping) as well as the completion time and the tool tip path length at different time delays.

  2. Supplemental Guidelines, JCE Lab-Experiment Manuscripts

    Science.gov (United States)

    2000-05-01

    These guidelines supplement the Guide to Submissions (published in J. Chem. Educ. 2000, 77, 29-30 and at http://jchemed.chem.wisc.edu/Journal/Authors/ Guidelines.html or available on request from the JCE editorial office). Manuscripts that describe laboratory experiments should first follow the Guide to Submissions and then apply these Supplemental Guidelines. Rationale JCE receives many submissions that describe laboratory experiments. The broad range of experiments readers can find each month is one of our most important features. These supplemental guidelines have been designed to make published laboratory experiments as useful as possible to readers. They are based on four fundamental ideas: peer review of a lab-experiment manuscript should be based to a large degree on the written and technology-based materials used by students in the laboratory, not just on a description of those materials; JCE should print the information a reader needs to decide whether to try to use the experiment; this includes information about possible safety hazards; readers who decide to use a lab should be able to adapt it to their circumstances quickly and easily; detailed information, including student materials, should be available to adopters of an experiment in a format that is modifiable and easily adapted for use by faculty, students, and support staff. To support these goals we require that a manuscript that describes a laboratory experiment must consist of a Lab Summary and Lab Documentation. (Each of these is described in detail below.) If, after peer review, a lab-experiment manuscript is published, only the Lab Summary will be printed in JCE. The Abstract, the Lab Summary, and all Lab Documentation will be published via JCE Online. Lab Documentation is placed on the Web as PDF files that can be displayed and printed by Acrobat Reader, and as Word or Word Perfect files that can be edited by those who adopt a lab. Those without Web access can request printed copies of all

  3. LabVIEW Support at CERN

    CERN Multimedia

    HR Department

    2010-01-01

    Since the beginning of 2009, due to the CERN restructuring, LabVIEW support moved from the IT to the EN department, joining the Industrial Controls and Electronics Group (ICE). LabVIEW support has been merged with the Measurement, Test and Analysis (MTA) section which, using LabVIEW, has developed most of the measurement systems to qualify the LHC magnets and components over the past 10 years. The post mortem analysis for the LHC hardware commissioning has also been fully implemented using LabVIEW, customised into a framework, called RADE, for CERN needs. The MTA section has started with a proactive approach sharing its tools and experience with the CERN LabVIEW community. Its framework (RADE) for CERN integrated application development has been made available to the users. Courses on RADE have been integrated into the standard National Instruments training program at CERN. RADE and LabVIEW support were merged together in 2010 on a single email address:labview.support@cern.ch For more information please...

  4. 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.

    1997-01-01

    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

  5. 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)

    汪新华

    2016-01-01

    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

  6. Surgical Lasers In Gynecology

    Science.gov (United States)

    Schellhas, Helmut F.; Barnes, Alfonso E.

    1982-12-01

    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.

  7. Caring for migrant farm workers on medical-surgical units.

    Science.gov (United States)

    Anthony, Maureen J

    2011-01-01

    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.

  8. [Wound prevention in the surgical intensive care unit].

    Science.gov (United States)

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

    2012-11-01

    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.

  9. Nursing Home Checklist

    Science.gov (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 ...

  10. Communication acoustics in Bell Labs

    Science.gov (United States)

    Flanagan, J. L.

    2004-05-01

    Communication aoustics has been a central theme in Bell Labs research since its inception. Telecommunication serves human information exchange. And, humans favor spoken language as a principal mode. The atmospheric medium typically provides the link between articulation and hearing. Creation, control and detection of sound, and the human's facility for generation and perception are basic ingredients of telecommunication. Electronics technology of the 1920s ushered in great advances in communication at a distance, a strong economical impetus being to overcome bandwidth limitations of wireline and cable. Early research established criteria for speech transmission with high quality and intelligibility. These insights supported exploration of means for efficient transmission-obtaining the greatest amount of speech information over a given bandwidth. Transoceanic communication was initiated by undersea cables for telegraphy. But these long cables exhibited very limited bandwidth (order of few hundred Hz). The challenge of sending voice across the oceans spawned perhaps the best known speech compression technique of history-the Vocoder, which parametrized the signal for transmission in about 300 Hz bandwidth, one-tenth that required for the typical waveform channel. Quality and intelligibility were grave issues (and they still are). At the same time parametric representation offered possibilities for encryption and privacy inside a traditional voice bandwidth. Confidential conversations between Roosevelt and Churchill during World War II were carried over high-frequency radio by an encrypted vocoder system known as Sigsaly. Major engineering advances in the late 1940s and early 1950s moved telecommunications into a new regime-digital technology. These key advances were at least three: (i) new understanding of time-discrete (sampled) representation of signals, (ii) digital computation (especially binary based), and (iii) evolving capabilities in microelectronics that

  11. Module based training improves and sustains surgical skills

    DEFF Research Database (Denmark)

    Carlsen, C G; Lindorff-Larsen, K; Funch-Jensen, P

    2015-01-01

    PURPOSE: Traditional surgical training is challenged by factors such as patient safety issues, economic considerations and lack of exposure to surgical procedures due to short working hours. A module-based clinical training model promotes rapidly acquired and persistent surgical skills. METHODS......: A randomised controlled trial concerning supervised hernia repair in eight training hospitals in Denmark was performed. The participants were 18 registrars [Post graduate year (PGY) 3 or more] in their first year of surgical specialist training. The intervention consisted of different modules with a skills......-lab course followed by 20 supervised Lichtenstein hernia repairs. Operative performance was video recorded and blindly rated by two consultants using a previously validated skills rating scale (8-40 points). Outcome measures were change in the ratings of operative skills and operative time. RESULTS...

  12. THE REAL NEED OF NURSES BASED ON WORKLOAD INDICATOR STAFF NEED (WISN

    Directory of Open Access Journals (Sweden)

    Ni Luh Ade Kusuma Ernawati

    2017-04-01

    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.

  13. Naturalistic nursing.

    Science.gov (United States)

    Hussey, Trevor

    2011-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Peter eVan Bogaert

    2015-10-01

    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

  15. Assessing Usage and Maximizing Finance Lab Impact: A Case Exploration

    Science.gov (United States)

    Noguera, Magdy; Budden, Michael Craig; Silva, Alberto

    2011-01-01

    This paper reports the results of a survey conducted to assess students' usage and perceptions of a finance lab. Finance labs differ from simple computer labs as they typically contain data boards, streaming market quotes, terminals and software that allow for real-time financial analyses. Despite the fact that such labs represent significant and…

  16. RoboLab and virtual environments

    Science.gov (United States)

    Giarratano, Joseph C.

    1994-01-01

    A useful adjunct to the manned space station would be a self-contained free-flying laboratory (RoboLab). This laboratory would have a robot operated under telepresence from the space station or ground. Long duration experiments aboard RoboLab could be performed by astronauts or scientists using telepresence to operate equipment and perform experiments. Operating the lab by telepresence would eliminate the need for life support such as food, water and air. The robot would be capable of motion in three dimensions, have binocular vision TV cameras, and two arms with manipulators to simulate hands. The robot would move along a two-dimensional grid and have a rotating, telescoping periscope section for extension in the third dimension. The remote operator would wear a virtual reality type headset to allow the superposition of computer displays over the real-time video of the lab. The operators would wear exoskeleton type arms to facilitate the movement of objects and equipment operation. The combination of video displays, motion, and the exoskeleton arms would provide a high degree of telepresence, especially for novice users such as scientists doing short-term experiments. The RoboLab could be resupplied and samples removed on other space shuttle flights. A self-contained RoboLab module would be designed to fit within the cargo bay of the space shuttle. Different modules could be designed for specific applications, i.e., crystal-growing, medicine, life sciences, chemistry, etc. This paper describes a RoboLab simulation using virtual reality (VR). VR provides an ideal simulation of telepresence before the actual robot and laboratory modules are constructed. The easy simulation of different telepresence designs will produce a highly optimum design before construction rather than the more expensive and time consuming hardware changes afterwards.

  17. 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

    2013-01-01

    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

  18. The Design:Lab as platform in participatory design research

    DEFF Research Database (Denmark)

    Binder, Thomas; Brandt, Eva

    2008-01-01

    The notion of laboratory or simply 'lab' has become popular in recent years in areas outside science and technology development. Learning Labs, Innovation Labs, Usability Labs, Media and Communication Labs and even Art Labs designate institutions or fora dedicated to change and experimentation....... Influenced by these currents we use the expression 'Design:Lab' as a shorthand description of open collaborations between many stakeholders sharing a mutual interest in design research in a particular field. Many have reacted to the term 'laboratory' or 'lab' as foreign and awkward to design, and we as well...... as others have frequently used other metaphors like workshop, studio or atelier in design research. In this article we will argue that the laboratory metaphor is particularly suitable and useful for the design:lab, and we will give examples of how we have worked with the design:lab as a platform...

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

    OpenAIRE

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

    2013-01-01

    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...

  20. You Want Me in Outpatient Oncology Nursing? A New Graduate Story.

    Science.gov (United States)

    Hawley, McKenzie

    2016-08-01

    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.

  1. Clinical decision making of nurses working in hospital settings.

    Science.gov (United States)

    Bjørk, Ida Torunn; Hamilton, Glenys A

    2011-01-01

    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.

  2. Nursing Home

    OpenAIRE

    Allocca Hernandez, Giacomo Antonio

    2016-01-01

    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...

  3. Do Online Labs Work? An Assessment of an Online Lab on Cell Division

    Science.gov (United States)

    Gilman, Sharon L.

    2006-01-01

    Some studies show students successfully learning science through online courses. This study compared students doing an online and in-class lab exercise on cell division. Online students performed slightly but significantly better on a follow-up content quiz, however, about half those expressed a strong preference for in-class lab work.

  4. eLabEL: technology-supported living labs in primary care.

    NARCIS (Netherlands)

    Vermeulen, J.; Huygens, M.W.J.; Swinkels, I.; Oude Nijeweme-d'Hollosy, W.; Velsen, L. van; Jansen, Y.; Witte, L.P. de

    2015-01-01

    Abstract— Telecare technologies and eHealth applications can support patients and care professionals. However, these technologies are currently not being implemented in primary care. The eLabEL project aims to contribute to a solution for this problem by establishing Living Labs in which patients, h

  5. eLabEL: technology-supported living labs in primary care

    NARCIS (Netherlands)

    Vermeulen, Joan; Huygens, Martine; Witte, de Luc P.; Swinkels, Ilse; Oude Nijeweme-d'Hollosy, Wendy; Velsen, van Lex; Jansen, Yvonne

    2015-01-01

    Telecare technologies and eHealth applications can support patients and care professionals. However, these technologies are currently not being implemented in primary care. The eLabEL project aims to contribute to a solution for this problem by establishing Living Labs in which patients, healthcare

  6. Are Virtual Labs as Effective as Hands-on Labs for Undergraduate Physics? A Comparative Study at Two Major Universities

    Science.gov (United States)

    Darrah, Marjorie; Humbert, Roxann; Finstein, Jeanne; Simon, Marllin; Hopkins, John

    2014-01-01

    Most physics professors would agree that the lab experiences students have in introductory physics are central to the learning of the concepts in the course. It is also true that these physics labs require time and money for upkeep, not to mention the hours spent setting up and taking down labs. Virtual physics lab experiences can provide an…

  7. Manual of Surgical Instruments

    Directory of Open Access Journals (Sweden)

    Olga Lidia Sánchez Sarría

    2014-10-01

    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.

  8. 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

    1997-10-01

    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.

  9. [Systematization of nursing assistance to patients with diabetes mellitus and chronic renal failure].

    Science.gov (United States)

    Mascarenhas, Nildo Batista; Pereira, Álvaro; da Silva, Rudval Souza; da Silva, Mary Gomes

    2011-01-01

    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.

  10. 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

    2012-08-01

    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

  11. 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

    2010-06-01

    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

  12. Tracing detached and attached care practices in nursing education

    DEFF Research Database (Denmark)

    Soffer, Ann Katrine B.

    2014-01-01

    The implementation of skills labs in Danish nursing education can, in itself, be viewed as a complexity. The students are expected to eventually carry out their work in a situated hospital practice, but they learn their professional skills in a different space altogether, detached and removed from...... of care are not explicated in the curriculum or textbooks; however, they surfaced once this crooked approach to studying care in a simulated practice was applied. The article starts from the assertion that detached engagements are not recognized within the field of nursing education as an equal component...... to attachments. Yet empirical cases from the skills lab and hospitals illustrate how students sometimes felt emotionally attached to plastic dummies and how experienced nurses sometimes practised a degree of detachment in relation to human patients. Detached engagements will therefore be presented as part...

  13. Collaborative Creation of a Lab Rubric

    Directory of Open Access Journals (Sweden)

    Carrie Miller-DeBoer

    2011-03-01

    Full Text Available While there are a number of tested rubrics in circulation, our task was to intervene in a particular situation: the lead professor was concerned because her graduate teaching assistants held negative views about student performance on the lab reports. GTAs found poor products frustrating, and admitted that their grading was thus superficial and provided no feedback to students. Specifically, GTAs did not feel equipped to evaluate writing and, as a result, simply graded on steps completed in the lab process.We have a rubric now for an Introduction to Zoology lab that could be submitted here as a pretty darn good rubric for other instructors to use. But the intent of our “Tips and Tools” is to describe the actual creation of the rubric. We believe the active “real time” development of the rubric carried as much or more value than the finished product.

  14. eComLab: remote laboratory platform

    Science.gov (United States)

    Pontual, Murillo; Melkonyan, Arsen; Gampe, Andreas; Huang, Grant; Akopian, David

    2011-06-01

    Hands-on experiments with electronic devices have been recognized as an important element in the field of engineering to help students get familiar with theoretical concepts and practical tasks. The continuing increase the student number, costly laboratory equipment, and laboratory maintenance slow down the physical lab efficiency. As information technology continues to evolve, the Internet has become a common media in modern education. Internetbased remote laboratory can solve a lot of restrictions, providing hands-on training as they can be flexible in time and the same equipment can be shared between different students. This article describes an on-going remote hands-on experimental radio modulation, network and mobile applications lab project "eComLab". Its main component is a remote laboratory infrastructure and server management system featuring various online media familiar with modern students, such as chat rooms and video streaming.

  15. A Moodle extension to book online labs

    Directory of Open Access Journals (Sweden)

    Antonio C. Cardoso

    2005-11-01

    Full Text Available The social constructivist philosophy of Moodle makes it an excellent choice to deliver e-learning contents that require collaborative activities, such as those that are associated with online labs. In the case of online labs that enable web access to real devices (remote workbenches, access time should be reserved beforehand. A booking tool will avoid access conflicts and at the same time will help the students to organise their time and activities. This paper presents a Moodle extension that was developed within the Leonardo da Vinci MARVEL project, with the objective of meeting this requirement. The booking tool presented enables resource sharing in general and may be used to organise access to any type of scarce resources, such as to online labs and to the videoconferencing rooms that are needed to support collaborative activities.

  16. 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

    2016-01-01

    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.

  17. 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

    2016-01-01

    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

  18. Learner performance and attitudes in traditional versus simulated lab experiences

    Science.gov (United States)

    Pyatt, Kevin A.

    The expository laboratory, a type of physical laboratory that has prescribed outcomes, was initially designed to address learning environments and laboratory environments of the 20th century. Evidence suggests that it has lost its instructional value. Emerging technologies such as simulations have a multitude of instructional benefits which can serve as robust replacements for the expository lab. There is evidence that the expository lab is being redefined and may need to be redesigned for the online world. These changes have not been realized, however, due to the current accreditation process which does not recognize the simulated lab as a legitimate alternative to expository labs. This study investigated whether simulated laboratories can achieve the goals of contemporary lab instruction as successfully as the expository lab paradigm. This study addressed the differences and similarities in student attitudes toward using a simulated lab and an expository lab. The methodology used in this study was experimental and quantitative in nature. Two experiments were carried out, each of which comprised the completion of a lab activity by participants who were assigned to a control group (expository lab) or an experimental group (simulated lab). This study found that there were significant differences between the assessment means of the simulated lab groups and the expository lab groups. The assessment means for the simulated lab groups were significantly higher than the assessment means of the expository lab groups. In terms of learner attitude, it was found that simulated labs were perceived to be more open-ended, easier to use, and easier to generate usable data, than expository labs. Moreover, students preferred using simulated labs over expository labs, and the time to complete simulated lab activities was significantly less than the time to complete expository lab activities. This study showed that the simulated lab can serve as a legitimate alternative to the

  19. Instructional Objectives for Junior College Courses in Nursing: Medical Surgical Nursing I; and Obstetrics Nursing.

    Science.gov (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.

    Science.gov (United States)

    Angelos, Peter

    2014-12-01

    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?

    Science.gov (United States)

    McElligott, Deborah; Siemers, Sarah; Thomas, Lily; Kohn, Nina

    2009-08-01

    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. Recognizing surgical patterns

    NARCIS (Netherlands)

    Bouarfa, L.

    2012-01-01

    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

  3. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    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...

  4. Care practices of older people with dementia in the surgical ward: A questionnaire survey

    Directory of Open Access Journals (Sweden)

    Nina Hynninen

    2016-11-01

    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.

  5. Evaluation of two surveillance methods for surgical site infection

    Directory of Open Access Journals (Sweden)

    M. Haji Abdolbaghi

    2006-08-01

    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.

  6. Factors related to teamwork performance and stress of operating room nurses.

    Science.gov (United States)

    Sonoda, Yukio; Onozuka, Daisuke; Hagihara, Akihito

    2017-07-25

    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.

  7. School nursing.

    Science.gov (United States)

    Igoe, J B

    1994-09-01

    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

  8. Nursing Leadership.

    Science.gov (United States)

    Crisp, Carol

    2016-01-01

    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!

  9. 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

    2008-10-01

    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

  10. 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)

    2008-11-15

    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.)

  11. Nursing Skill Mix, Nurse Staffing Level, and Physical Restraint Use in US Hospitals: a Longitudinal Study.

    Science.gov (United States)

    Staggs, Vincent S; Olds, Danielle M; Cramer, Emily; Shorr, Ronald I

    2017-01-01

    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.

  12. [Neuronavigation in the surgical planning of callosotomy].

    Science.gov (United States)

    Valencia Calderón, Carlos; Castro Cevallos, Alfredo; Calderón Valdiviezo, Ana; Escobar Dávila, Roberto; Parra Rosales, Fausto; Quispe Alcocer, Julio; Vásquez Hahn, Catalina

    2016-01-01

    To describe the usefulness of 3D computer-assisted preoperative neuronavigation for stereoscopic location of the venous sinuses, arterial branches, and corpus callosum, to extrapolate anatomical landmarks on the surgical field and make decisions before the intervention. A prospective analysis was performed on patients with refractory epilepsy who underwent neuronavigation-assisted callosotomy (BRAIN LAB Dual). A total of 10 neuronavigation-assisted callosotomies were performed in the year 2014. The ages of the patients (4 males and 6 females) were between 4 and 13 years (mean 7; SD 3.02). The most common indication for callosotomy in our sample was Lennox Gastoux (5 patients). A right parasagittal craniotomy was performed in 8 patients. An anterior two-thirds callosotomy was performed in 8 patients and anterior three-quarters in 2 patients. The mean accuracy of the neuronavigation procedure was less than 2mm. In no cases were there significant intraoperative surgical complications. Callosotomy using frameless guided neuronavigation is an accurate and safe technique in patients with epilepsy refractory to surgical resection. Copyright © 2015 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

  13. [Penal liability from retained foreign body inside the surgical site].

    Science.gov (United States)

    Angiò, L G; Ventura Spagnolo, E; Pirrone, G; Cardia, G

    2011-03-01

    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.

  14. Go-Lab Deliverable D1.4 Go-Lab classroom scenarios handbook

    OpenAIRE

    2015-01-01

    This deliverable presents the Go-Lab scenarios handbook. This handbook offers six different scenarios that are meant to help teachers design ILSs. Each scenario represents a specific pedagogical method within the overall Go-Lab inquiry approach. The six Go-Lab inquiry scenarios are labelled as follows:• The basic scenario • The jigsaw approach • Six changing hats • Learning by critiquing • Structured controversy • Find the mistakeIn a later stage, when a suitable modelling tool has been found...

  15. Computational Labs Using VPython Complement Conventional Labs in Online and Regular Physics Classes

    Science.gov (United States)

    Bachlechner, Martina E.

    2009-03-01

    Fairmont State University has developed online physics classes for the high-school teaching certificate based on the text book Matter and Interaction by Chabay and Sherwood. This lead to using computational VPython labs also in the traditional class room setting to complement conventional labs. The computational modeling process has proven to provide an excellent basis for the subsequent conventional lab and allows for a concrete experience of the difference between behavior according to a model and realistic behavior. Observations in the regular class room setting feed back into the development of the online classes.

  16. Improving the Quality of Lab Reports by Using Them as Lab Instructions

    Science.gov (United States)

    Haagen-Schuetzenhoefer, Claudia

    2012-10-01

    Lab exercises are quite popular in teaching science. Teachers have numerous goals in mind when teaching science laboratories. Nevertheless, empirical research draws a heterogeneous picture of the benefits of lab work. Research has shown that it does not necessarily contribute to the enhancement of practical abilities or content knowledge. Lab activities are frequently based on recipe-like, step-by-step instructions ("cookbook style"), which do not motivate students to engage cognitively. Consequently, students put the emphasis on "task completion" or "manipulating equipment."2

  17. Rural nurses

    DEFF Research Database (Denmark)

    Wilson, Rhonda L.; Usher, Kim

    2015-01-01

    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....

  18. 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...

  19. LabVIEW A Developer's Guide to Real World Integration

    CERN Document Server

    Fairweather, Ian

    2011-01-01

    LabVIEW(t) has become one of the preeminent platforms for the development of data acquisition and data analysis programs. LabVIEW(t): A Developer's Guide to Real World Integration explains how to integrate LabVIEW into real-life applications. Written by experienced LabVIEW developers and engineers, the book describes how LabVIEW has been pivotal in solving real-world challenges. Each chapter is self-contained and demonstrates the power and simplicity of LabVIEW in various applications, from image processing to solar tracking systems. Many of the chapters explore how exciting new technologies c

  20. Electronics Lab Instructors' Approaches to Troubleshooting Instruction

    Science.gov (United States)

    Dounas-Frazer, Dimitri R.; Lewandowski, H. J.

    2017-01-01

    In this exploratory qualitative study, we describe instructors' self-reported practices for teaching and assessing students' ability to troubleshoot in electronics lab courses. We collected audio data from interviews with 20 electronics instructors from 18 institutions that varied by size, selectivity, and other factors. In addition to describing…

  1. An LED Solar Simulator for Student Labs

    Science.gov (United States)

    González, Manuel I.

    2017-01-01

    Measuring voltage-current and voltage-power curves of a photovoltaic module is a nice experiment for high school and undergraduate students. In labs where real sunlight is not available this experiment requires a solar simulator. A prototype of a simulator using LED lamps has been manufactured and tested, and a comparison with classical halogen…

  2. A Hardware Lab Anywhere At Any Time

    Directory of Open Access Journals (Sweden)

    Tobias Schubert

    2004-12-01

    Full Text Available Scientific technical courses are an important component in any student's education. These courses are usually characterised by the fact that the students execute experiments in special laboratories. This leads to extremely high costs and a reduction in the maximum number of possible participants. From this traditional point of view, it doesn't seem possible to realise the concepts of a Virtual University in the context of sophisticated technical courses since the students must be "on the spot". In this paper we introduce the so-called Mobile Hardware Lab which makes student participation possible at any time and from any place. This lab nevertheless transfers a feeling of being present in a laboratory. This is accomplished with a special Learning Management System in combination with hardware components which correspond to a fully equipped laboratory workstation that are lent out to the students for the duration of the lab. The experiments are performed and solved at home, then handed in electronically. Judging and marking are also both performed electronically. Since 2003 the Mobile Hardware Lab is now offered in a completely web based form.

  3. Surfactant Adsorption: A Revised Physical Chemistry Lab

    Science.gov (United States)

    Bresler, Marc R.; Hagen, John P.

    2008-01-01

    Many physical chemistry lab courses include an experiment in which students measure surface tension as a function of surfactant concentration. In the traditional experiment, the data are fit to the Gibbs isotherm to determine the molar area for the surfactant, and the critical micelle concentration is used to calculate the Gibbs energy of micelle…

  4. Carleton to oversee $40 million lab grant

    CERN Multimedia

    Singer, Zev

    2003-01-01

    "Carleton University got a major gift yesterday, as the federal government announced the university will oversee a $40-million grant to run the world's deepest underground lab at the Sudbury Neutrino Observatory. Five other universities are partners in the project" (1/2 page).

  5. Lab-on a-Chip

    Science.gov (United States)

    2003-01-01

    Helen Cole, the project manager for the Lab-on-a-Chip Applications Development program, and Lisa Monaco, the project scientist for the program, insert a lab on a chip into the Caliper 42 which is specialized equipment that controls processes on commercial chips to support development of lab-on-a-chip applications. The system has special microscopes and imaging systems, so scientists can process and study different types of fluid, chemical, and medical tests conducted on chips. For example, researchers have examined fluorescent bacteria as it flows through the chips' fluid channels or microfluidic capillaries. Researchers at NASA's Marshall Space Flight Center (MSFC) in Huntsville, Alabama, have been studying how the lab-on-a-chip technology can be used for microbial detection, water quality monitoring, and detecting biosignatures of past or present life on Mars. The Marshall Center team is also collaborating with scientists at other NASA centers and at universities to develop custom chip designs for not only space applications, but for many Earth applications, such as for detecting deadly microbes in heating and air systems. (NASA/MSFC/D.Stoffer)

  6. Displacing Media: LCD LAB Artistic Residency

    Directory of Open Access Journals (Sweden)

    Filipe Pais

    2012-12-01

    Full Text Available This review refers to an artistic residency which took place at LCD LAB -  CAAA at Guimarães, in March, exploring a strategy for media art called Media Displacement. The text introduces the strategy very briefly and describes the residency's organization, structure, processses and the results produced.

  7. Design Lab 2005 : pilk steriilsesse elektrotulevikku

    Index Scriptorium Estoniae

    2005-01-01

    Design Lab kutsub disainereid ja üliõpilasi üle terve maailma tegelema kaugemale tulevikku suunatud visioonidega. 2005. a. konkurss otsis nutikaid ja säästlikke lahendusi, mis võiksid 2020. a. kodudes olla juba juurdunud, keskenduti kodutehnikale

  8. Library-Labs-for-Science Literacy Courses.

    Science.gov (United States)

    Pestel, Beverly C.; Engeldinger, Eugene A.

    1992-01-01

    Describes two library-lab exercises the authors have incorporated into their college chemistry course. The first exercise introduces students to scientific information and familiarizes them with the tools for accessing it. The second provides a framework for evaluating the reliability of that information and addresses the criteria that should be…

  9. Technology Rich Biology Labs: Effects of Misconceptions.

    Science.gov (United States)

    Kuech, Robert; Zogg, Gregory; Zeeman, Stephan; Johnson, Mark

    This paper describes a study conducted on the lab sections of the general biology course for non-science majors at the University of New England, and reports findings of student misconceptions about photosynthesis and the mass/carbon uptake during plant growth. The current study placed high technology analytic tools in the hands of introductory…

  10. Information at a Cost: A Lab Experiment

    NARCIS (Netherlands)

    P. Robalo (Pedro); R.S. Sayag (Rei)

    2012-01-01

    textabstractThe supposed irrelevance of historical costs for rational decision making has been the subject of much interest in the economic literature. In this paper we explore whether individual decision making under risk is affected by the cost of the supplied information. Outside of the lab, it i

  11. Design Lab 2005 : pilk steriilsesse elektrotulevikku

    Index Scriptorium Estoniae

    2005-01-01

    Design Lab kutsub disainereid ja üliõpilasi üle terve maailma tegelema kaugemale tulevikku suunatud visioonidega. 2005. a. konkurss otsis nutikaid ja säästlikke lahendusi, mis võiksid 2020. a. kodudes olla juba juurdunud, keskenduti kodutehnikale

  12. Lab. X - projektrapport udarbejdet maj 2015

    DEFF Research Database (Denmark)

    Bangshaab, Jette

    2015-01-01

    Nærværende projektrapport for Lab. X projektet (ERDFN-13-0129) fremstiller og vurderer udviklingen af projektforløbet, og hvorledes projektets hovedaktiviteter er gennemført, og i hvilket omfang milepælene er nået. Desuden præsenteres det, hvilke konkrete resultater projektet har nået og, hvordan...

  13. Tap Teens' Curiosity with Lab Band.

    Science.gov (United States)

    Saunders, Jane

    2002-01-01

    Describes the Lab Band project used with 12th grade students at the Westgate Collegiate and Vocational Institute in Thunder Bay, Ontario (Canada). Explains that each band student taught a peer how to play their instrument which created versatility in the band. States that all students kept a reflective journal. (CMK)

  14. Electronics Lab Instructors' Approaches to Troubleshooting Instruction

    Science.gov (United States)

    Dounas-Frazer, Dimitri R.; Lewandowski, H. J.

    2017-01-01

    In this exploratory qualitative study, we describe instructors' self-reported practices for teaching and assessing students' ability to troubleshoot in electronics lab courses. We collected audio data from interviews with 20 electronics instructors from 18 institutions that varied by size, selectivity, and other factors. In addition to describing…

  15. Apples and Arias in the Language Lab.

    Science.gov (United States)

    Leamon, Patricia

    1999-01-01

    Describes a French teacher's efforts to substitute interactive video/computer technologies for textbook materials. She designed special language-lab events to introduce eighth graders to the vocabulary of animals, colors, simple adjectives, fruits, flowers, and natural landscapes and to cultural artifacts, such as paintings, arias, poems, and…

  16. A "Language Lab" for Architectural Design.

    Science.gov (United States)

    Mackenzie, Arch; And Others

    This paper discusses a "language lab" strategy in which traditional studio learning may be supplemented by language lessons using computer graphics techniques to teach architectural grammar, a body of elements and principles that govern the design of buildings belonging to a particular architectural theory or style. Two methods of…

  17. Volkswagen Sets up Central Lab in BRICI

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ On June 2, Volkswagen Corp of Germany settled its Chinese central laboratory in Sinopec Beijing Research Institute of Chemical Industry (BRICI). This is the top-level lab of Volkswagen in Asia - Pacific region and it marks another close cooperation between Volkswagen Corp of Germany and Sinopec Corp.

  18. FameLab - Swiss Semi Finals

    CERN Multimedia

    Corinne Pralavorio

    2012-01-01

    Twenty-two young scientists participated in the FameLab semi-final at CERN's Globe of Science and Innovation on 4 February, supported by a large audience and by more than 100 fans following via webcast. A panel of judges chose Lemmer and four other candidates to join five other semi-finalists at the national finals in Zurich on 30 March.

  19. Analysis of exfoliated gastric carcinoma cells attached on surgical supplies

    Directory of Open Access Journals (Sweden)

    Yu XF

    2014-10-01

    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

  20. "Nurse's cramp"

    DEFF Research Database (Denmark)

    Jepsen, Jørgen Riis

    2015-01-01

    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...

  1. 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

    2015-10-01

    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.

  2. Surgical ethics: surgical virtue and more.

    Science.gov (United States)

    Vercler, Christian J

    2015-01-01

    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.

  3. NASA GeneLab Concept of Operations

    Science.gov (United States)

    Thompson, Terri; Gibbs, Kristina; Rask, Jon; Coughlan, Joseph; Smith, Jeffrey

    2014-01-01

    NASA's GeneLab aims to greatly increase the number of scientists that are using data from space biology investigations on board ISS, emphasizing a systems biology approach to the science. When completed, GeneLab will provide the integrated software and hardware infrastructure, analytical tools and reference datasets for an assortment of model organisms. GeneLab will also provide an environment for scientists to collaborate thereby increasing the possibility for data to be reused for future experimentation. To maximize the value of data from life science experiments performed in space and to make the most advantageous use of the remaining ISS research window, GeneLab will apply an open access approach to conducting spaceflight experiments by generating, and sharing the datasets derived from these biological studies in space.Onboard the ISS, a wide variety of model organisms will be studied and returned to Earth for analysis. Laboratories on the ground will analyze these samples and provide genomic, transcriptomic, metabolomic and proteomic data. Upon receipt, NASA will conduct data quality control tasks and format raw data returned from the omics centers into standardized, annotated information sets that can be readily searched and linked to spaceflight metadata. Once prepared, the biological datasets, as well as any analysis completed, will be made public through the GeneLab Space Bioinformatics System webb as edportal. These efforts will support a collaborative research environment for spaceflight studies that will closely resemble environments created by the Department of Energy (DOE), National Center for Biotechnology Information (NCBI), and other institutions in additional areas of study, such as cancer and environmental biology. The results will allow for comparative analyses that will help scientists around the world take a major leap forward in understanding the effect of microgravity, radiation, and other aspects of the space environment on model organisms

  4. Multiscale Surgical Telerobots

    Energy Technology Data Exchange (ETDEWEB)

    Miles, R R; Seward, K P; Benett, W J; Tendick, F; Bentley, L; Stephan, P L

    2002-01-23

    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.

  5. Awakening interest in the natural sciences - BASF's Kids' Labs.

    Science.gov (United States)

    Lang, Cinthia

    2012-01-01

    At BASF's Ludwigshafen headquarters, kids and young adults in grades 1-13 can learn about chemistry in the Kids' Labs. Different programs exist for different levels of knowledge. In the two 'Hands-on Lab H(2)O & Co.' Kids' Labs, students from grades 1-6 explore the secrets of chemistry. BASF Kids' Labs have now been set up in over 30 countries. In Switzerland alone, almost 2,000 students have taken part in the 'Water Loves Chemistry' Kids' Lab since it was started in 2011. In Alsace, 600 students have participated to date. In the Teens' Lab 'Xplore Middle School', middle school students explore five different programs with the themes 'substance labyrinth', 'nutrition', 'coffee, caffeine & co.', 'cosmetics' and 'energy'. Biotechnological methods are the focus of the Teens' Lab 'Xplore Biotech' for students taking basic and advanced biology courses. In the 'Xplore High School' Teens' Lab, chemistry teachers present their own experimental lab instruction for students in basic and advanced chemistry courses. The Virtual Lab has been expanding the offerings of the BASF Kids' Labs since 2011. The online lab was developed by the company for the International Year Of Chemistry and gives kids and young adults the opportunity to do interactive experiments outside of the lab.

  6. The Transformation of Users in Living Lab Construction: The Case of Eco-City Living Lab

    Directory of Open Access Journals (Sweden)

    Wen-Yuan Lin

    2012-09-01

    Full Text Available To promote the development of user-oriented technology, different approaches are explored, with living labs being one of the most promising. This paper introduces the strategies in making of a community-based living lab with a specific focus on the users. We introduce the practical mechanisms built in a community environment and the methods to facilitate user innovation. We also report a case study of the users’ response to a health care technology, finding out that most of the users did not change their opinion after a year’s use. The major finding is on the dynamics between living lab construction and the transformation of the users. We reflect on the phenomenon of a living lab itself transforming the users and making it difficult for them to provide specific opinions of the technology.

  7. Comunicacion USB entre aplicaciones desarrolladas en LabVIEW y microcontroladores de Silicon Labs

    National Research Council Canada - National Science Library

    Herrera Benitez, Julio Cesar

    2013-01-01

    El presente articulo trata sobre la utilizacion de LabVIEW para establecer comunicacion USB con microcontroladores de la familia 8051 de Silicon Laboratories, utilizando un driver desarrollado por dicha compania...

  8. Transformational Teamwork: Exploring the Impact of Nursing Teamwork on Nurse-Sensitive Quality Indicators.

    Science.gov (United States)

    Rahn, Debbie J

    2016-01-01

    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.

  9. Utilization of non-US educated nurses in US hospitals: implications for hospital mortality.

    Science.gov (United States)

    Neff, Donna Felber; Cimiotti, Jeannie; Sloane, Douglas M; Aiken, Linda H

    2013-09-01

    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.

  10. Improving Surveillance and Prevention of Surgical Site Infection in Pediatric Cardiac Surgery.

    Science.gov (United States)

    Cannon, Melissa; Hersey, Diane; Harrison, Sheilah; Joy, Brian; Naguib, Aymen; Galantowicz, Mark; Simsic, Janet

    2016-03-01

    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.

  11. Guide to Surgical Specialists

    Science.gov (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 ...

  12. Surgical Critical Care Initiative

    Data.gov (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....

  13. Ambulatory Surgical Measures - National

    Data.gov (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...

  14. Ambulatory Surgical Measures - Facility

    Data.gov (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...

  15. 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/ ...

  16. CELSTEC Learning Labs: Mobile App Development for Education and Training

    NARCIS (Netherlands)

    Specht, Marcus

    2011-01-01

    Specht, M. (2011). CELSTEC Learning Labs: Mobile App Development for Education and Training. Presentation given in Workshop at CELSTEC Learning Lab for Bluetea. February, 21, 2011, Heerlen, The Netherlands.

  17. Novel applications of Lactic Acid Bacteria (LAB) and Recombinant ...

    African Journals Online (AJOL)

    Novel applications of Lactic Acid Bacteria (LAB) and Recombinant LAB as ... through acidification, competition for essential nutrients, and / or production of inhibitory ... that allows the expression of heterologous proteins, they are being probed ...

  18. Computer Labs and Media Centers: A Natural Fit.

    Science.gov (United States)

    Anderson, Mary Alice

    2000-01-01

    Discusses how to integrate a computer lab with a school library media center. Topics include planning; management issues; printing guidelines; scheduling; instruction and integration; staff development; supervision while classes are in the computer lab; and technical issues. (LRW)

  19. CELSTEC Learning Labs: Mobile App Development for Education and Training

    NARCIS (Netherlands)

    Specht, Marcus

    2011-01-01

    Specht, M. (2011). CELSTEC Learning Labs: Mobile App Development for Education and Training. Presentation given in Workshop at CELSTEC Learning Lab for Bluetea. February, 21, 2011, Heerlen, The Netherlands.

  20. 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

    2015-01-01

    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

  1. Nursing shortages and international nurse migration.

    Science.gov (United States)

    Ross, S J; Polsky, D; Sochalski, J

    2005-12-01

    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.

  2. 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)

    周涛

    2011-01-01

    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。

  3. Nurses' burnout and unmet nursing care needs of patients' relatives in a Turkish State Hospital.

    Science.gov (United States)

    Tekindal, Benian; Tekindal, Mustafa Agah; Pinar, Gul; Ozturk, Filiz; Alan, Sumeyra

    2012-02-01

    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.

  4. 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

    1993-07-01

    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.

  5. 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

    2006-12-01

    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

  6. Cassandra - WP400 - final report of living lab 2

    NARCIS (Netherlands)

    Engler, M.; Klievink, A.J.

    2014-01-01

    This CASSANDRA LL2 final deliverable contains all information regarding the CASSANDRA Living Lab Europe – USA via Bremerhaven including information from two intermediate reports (CASSANDRA D4.21 and D4.22) about the very same Living Lab handed in during runtime of the Living Lab. CASSANDRA Living L

  7. Cassandra - WP400 - final report of living lab 2

    NARCIS (Netherlands)

    Engler, M.; Klievink, A.J.

    2014-01-01

    This CASSANDRA LL2 final deliverable contains all information regarding the CASSANDRA Living Lab Europe – USA via Bremerhaven including information from two intermediate reports (CASSANDRA D4.21 and D4.22) about the very same Living Lab handed in during runtime of the Living Lab. CASSANDRA Living

  8. Cassandra - WP400 - final report of living lab 2

    NARCIS (Netherlands)

    Engler, M.; Klievink, A.J.

    2014-01-01

    This CASSANDRA LL2 final deliverable contains all information regarding the CASSANDRA Living Lab Europe – USA via Bremerhaven including information from two intermediate reports (CASSANDRA D4.21 and D4.22) about the very same Living Lab handed in during runtime of the Living Lab. CASSANDRA Living L

  9. The Dynamics and Facilitation of a Living Lab Construct

    DEFF Research Database (Denmark)

    Brønnum, Louise; Nielsen, Louise Møller

    2013-01-01

    and the different actors, processes and methods are therefore interesting to put into perspective as it contains opportunities for staging a well‐functioning Living Lab. This paper contributes to unfolding and discussing some of the main challenges in managing a Living Lab while keeping the different actors engaged...... in the process by drawing upon data from three Living Lab projects....

  10. Revising Geology Labs To Explicitly Use the Scientific Method.

    Science.gov (United States)

    Hannula, Kimberly A.

    2003-01-01

    Proposes that content- or skill-based labs can be revised to explicitly involve the scientific method by asking students to propose hypotheses before making observations. Students' self-assessment showed they felt that they learned a great deal from this style of labs and found the labs to be fun; however, students felt that they learned little…

  11. 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

    2013-01-01

    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

  12. Technology Roadmap: Lab-on-a-Chip

    Directory of Open Access Journals (Sweden)

    Pattharaporn Suntharasaj

    2010-04-01

    Full Text Available With the integration of microfluidic and MEMS technologies, biochips such as the lab-on-a-chip (LOC devices are at the brink of revolutionizing the medical disease diagnostics industries. Remarkable advancements in the biochips industry are making products resembling Star Trek.s "tricorder" and handheld medical scanners a reality. Soon, doctors can screen for cancer at the molecular level without costly and cumbersome equipments, and discuss treatment plans based on immediate lab results. This paper develops a roadmap for a hypothetical company (XI which is seeking to be successful in this market. The roadmapping process starts with gathering data through literature research and expert opinions, and progress through defining the market/product/technology layers, linking and integrating these layers, and finally creating a labon-a-chip for disease diagnostics technology roadmap.

  13. Lab-on-a-Chip Multiplex Assays.

    Science.gov (United States)

    Peter, Harald; Wienke, Julia; Bier, Frank F

    2017-01-01

    Lab-on-a-chip multiplex assays allow a rapid identification of multiple parameters in an automated manner. Here we describe a lab-based preparation followed by a rapid and fully automated DNA microarray hybridization and readout in less than 10 min using the Fraunhofer in vitro diagnostics (ivD) platform to enable rapid identification of bacterial species and detection of antibiotic resistance. The use of DNA microarrays allows a fast adaptation of new biomarkers enabling the identification of different genes as well as single-nucleotide-polymorphisms (SNPs) within these genes. In this protocol we describe a DNA microarray developed for identification of Staphylococcus aureus and the mecA resistance gene.

  14. Jefferson Lab Data Acquisition Run Control System

    Energy Technology Data Exchange (ETDEWEB)

    Vardan Gyurjyan; Carl Timmer; David Abbott; William Heyes; Edward Jastrzembski; David Lawrence; Elliott Wolin

    2004-10-01

    A general overview of the Jefferson Lab data acquisition run control system is presented. This run control system is designed to operate the configuration, control, and monitoring of all Jefferson Lab experiments. It controls data-taking activities by coordinating the operation of DAQ sub-systems, online software components and third-party software such as external slow control systems. The main, unique feature which sets this system apart from conventional systems is its incorporation of intelligent agent concepts. Intelligent agents are autonomous programs which interact with each other through certain protocols on a peer-to-peer level. In this case, the protocols and standards used come from the domain-independent Foundation for Intelligent Physical Agents (FIPA), and the implementation used is the Java Agent Development Framework (JADE). A lightweight, XML/RDF-based language was developed to standardize the description of the run control system for configuration purposes.

  15. Electronics lab instructors' approaches to troubleshooting instruction

    CERN Document Server

    Dounas-Frazer, Dimitri R

    2016-01-01

    In this exploratory qualitative study, we describe instructors' self-reported practices for teaching and assessing students' ability to troubleshoot in electronics lab courses. We collected audio data from interviews with 20 electronics instructors from 18 institutions that varied by size, selectivity, and other factors. In addition to describing participants' instructional practices, we characterize their perceptions about the role of troubleshooting in electronics, the importance of the ability to troubleshoot more generally, and what it means for students to be competent troubleshooters. One major finding of this work is that, while almost all instructors in our study said that troubleshooting is an important learning outcome for students in electronics lab courses, only half of instructors said they directly assessed students' ability to troubleshoot. Based on our findings, we argue that there is a need for research-based instructional materials that attend to both cognitive and non-cognitive aspects of t...

  16. 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

    2008-01-01

    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

  17. LabVIEW与MATLAB混合编程的实现%Method of Hybird Programming with LabVIEW and MATLAB

    Institute of Scientific and Technical Information of China (English)

    张晖; 郑炜

    2010-01-01

    LabVIEW和MATLAB的混合编程,通过LabVIEW专有程序接口调用MATLAB实现.LabVIEW设计用户图像界面,负责数据采集;MATLAB在后台提供大型算法供LabVIEW调用,其程序的调用方法,可使用MATLAB Script节点或ActiveX函数模板.

  18. Bipolar Transistor Tester for Physics Lab

    CERN Document Server

    Baddi, Raju

    2012-01-01

    A very simple low cost bipolar transistor tester for physics lab is given. The proposed circuit not only indicates the type of transistor(NPN/PNP) but also indicates the terminals(emitter, base and collector) using simple dual colored(Red/Green) LEDs. Color diagrams of testing procedure have been given for easy following. This article describes the construction of this apparatus in all detail with schematic circuit diagram, circuit layout and constructional illustration.

  19. Jefferson Lab Science, Past and Future

    CERN Document Server

    McKeown, R D

    2014-01-01

    The Continuous Electron Beam Accelerator Facility (CEBAF) and associated experimental equipment at Jefferson Lab comprise a unique facility for experimental nuclear physics. This facility is presently being upgraded, which will enable a new experimental program with substantial discovery potential to address important topics in nuclear, hadronic, and electroweak physics. Further in the future, it is envisioned that the Laboratory will evolve into an electron-ion colliding beam facility.

  20. Setting new sights for standards lab

    Science.gov (United States)

    Banks, Michael

    2008-03-01

    It may be best known as the home of the world's first atomic clock, which led to a new definition of the second. But the National Physical Laboratory (NPL), which develops and maintains the country's measurement standards, was in fact founded in 1900 to promote links between science and commerce. That tradition, which saw staff at the lab also inventing radar, early computers and modern network packet switching, is something that John Pethica - NPL's new chief scientist - is keen to build on.

  1. Bacteriocinogenic LAB from cheeses - Application in biopreservation?

    OpenAIRE

    Favaro, Lorenzo; Barretto Penna, Ana Lucia [UNESP; Todorov, Svetoslav Dimitrov

    2015-01-01

    Over the last decade, there has been an explosion of basic and applied research on lactic acid bacteria bacteriocins, because of their potential as biopreservatives and inhibition of the growth of spoilage bacteria. Although bacteriocins can be produced during cheese production, their titers are much lower than those achieved in vitro fermentations under optimal physical and chemical conditions. Safety and technological traits of the bacteriocinogenic lactic acid bacteria (LAB) have to be con...

  2. Optical Calibration For Jefferson Lab HKS Spectrometer

    Energy Technology Data Exchange (ETDEWEB)

    L. Yuan; L. Tang

    2005-11-04

    In order to accept very forward angle scattering particles, Jefferson Lab HKS experiment uses an on-target zero degree dipole magnet. The usual spectrometer optics calibration procedure has to be modified due to this on-target field. This paper describes a new method to calibrate HKS spectrometer system. The simulation of the calibration procedure shows the required resolution can be achieved from initially inaccurate optical description.

  3. Overview of Nuclear Physics at Jefferson Lab

    Energy Technology Data Exchange (ETDEWEB)

    McKeown, Robert D. [JLAB

    2013-08-01

    The Continuous Electron Beam Accelerator Facility (CEBAF) and associated experimental equipment at Jefferson Lab comprise a unique facility for experimental nuclear physics. This facility is presently being upgraded, which will enable a new experimental program with substantial discovery potential to address important topics in nuclear, hadronic, and electroweak physics. Further in the future, it is envisioned that the Laboratory will evolve into an electron-ion colliding beam facility.

  4. Berkeley Lab Computing Sciences: Accelerating Scientific Discovery

    OpenAIRE

    Hules, John A.

    2009-01-01

    Scientists today rely on advances in computer science, mathematics, and computational science, as well as large-scale computing and networking facilities, to increase our understanding of ourselves, our planet, and our universe. Berkeley Lab's Computing Sciences organization researches, develops, and deploys new tools and technologies to meet these needs and to advance research in such areas as global climate change, combustion, fusion energy, nanotechnology, biology, and astrophysics.

  5. Berkeley's Advanced Labs for Undergraduate Astronomy Majors

    Science.gov (United States)

    Heiles, C.

    1998-12-01

    We currently offer three advanced laboratory courses for undergraduate majors: optical, IR, and radio. These courses contain both intellectual and practical content; in this talk we focus on the radio lab as a representative example. The first half of the semester concentrates on fundamentals of microwave electronics and radio astronomy techniques in four formal laboratory exercises which emphasize hands-on use of microwave devices, laboratory instruments, and computer-controlled data taking. The second half of the course emphasizes astronomy, using a horn with ~ 1 m(2) aperture to map the HI in the Galaxy and a two-element interferometer composed of ~ 1 m diameter dishes on a ~ 10 m baseline to measure accurate positions of radio sources and accurate diameters for the Sun and Moon. These experiments and observations offer ideal opportunities for teaching coordinates, time, rotation matrices, data reduction techniques, least squares, signal processing, image processing, Fourier transforms, and laboratory and astronomical instrumentation. The students can't get along without using computers as actually used by astronomers. We stay away from packaged software such as IRAF, which are ``black boxes''; rather, students learn far more by writing their own software, usually for the first time. They use the IDL language to take and reduce data and prepare them for the lab reports. We insist on quality reports---including tables, postscript graphs and images, correct grammar, spelling, and all the rest---and we strongly urge (successfully!) the students to use LATEX. The other two lab courses have the same emphasis: the guiding spirit is to place the students in a real-life research-like situation. There is too much to do, so students perform the work in small groups of 3 or 4 and groups are encouraged to share their knowledge. Lab reports are written individually. These courses are very demanding, requiring an average of 20 hours per week from the students (and probably

  6. Factors influencing agency nursing and moonlighting among nurses in South Africa

    Directory of Open Access Journals (Sweden)

    Laetitia C. Rispel

    2014-03-01

    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

  7. Electronics lab instructors' approaches to troubleshooting instruction

    Science.gov (United States)

    Dounas-Frazer, Dimitri R.; Lewandowski, H. J.

    2017-06-01

    In this exploratory qualitative study, we describe instructors' self-reported practices for teaching and assessing students' ability to troubleshoot in electronics lab courses. We collected audio data from interviews with 20 electronics instructors from 18 institutions that varied by size, selectivity, and other factors. In addition to describing participants' instructional practices, we characterize their perceptions about the role of troubleshooting in electronics, the importance of the ability to troubleshoot more generally, and what it means for students to be competent troubleshooters. One major finding of this work is that, while almost all instructors in our study said that troubleshooting is an important learning outcome for students in electronics lab courses, only half of instructors said they directly assessed students' ability to troubleshoot. Based on our findings, we argue that there is a need for research-based instructional materials that attend to both cognitive and noncognitive aspects of troubleshooting proficiency. We also identify several areas for future investigation related to troubleshooting instruction in electronics lab courses.

  8. The NASA Langley Isolator Dynamics Research Lab

    Science.gov (United States)

    Middleton, Troy F.; Balla, Robert J.; Baurle, Robert A.; Humphreys, William M.; Wilson, Lloyd G.

    2010-01-01

    The Isolator Dynamics Research Lab (IDRL) is under construction at the NASA Langley Research Center in Hampton, Virginia. A unique test apparatus is being fabricated to support both wall and in-stream measurements for investigating the internal flow of a dual-mode scramjet isolator model. The test section is 24 inches long with a 1-inch by 2-inch cross sectional area and is supplied with unheated, dry air through a Mach 2.5 converging-diverging nozzle. The test section is being fabricated with two sets (glass and metallic) of interchangeable sidewalls to support flow visualization and laser-based measurement techniques as well as static pressure, wall temperature, and high frequency pressure measurements. During 2010, a CFD code validation experiment will be conducted in the lab in support of NASA s Fundamental Aerodynamics Program. This paper describes the mechanical design of the Isolator Dynamics Research Lab test apparatus and presents a summary of the measurement techniques planned for investigating the internal flow field of a scramjet isolator model.

  9. Singapore - The Nursing Scene

    Directory of Open Access Journals (Sweden)

    M.A. Doyle

    1985-09-01

    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.

  10. Child Psychiatric Nursing Option.

    Science.gov (United States)

    Koehler, Mary Frances

    1981-01-01

    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)

  11. 基于LabVIEW的测试软件的研制%Test Software Design Based on LabVIEW

    Institute of Scientific and Technical Information of China (English)

    李志谭; 辛彦红

    2006-01-01

    简要介绍虚拟仪器和LabVIEW开发系统的功能特点和发展情况,并开发出了在LabVIEW环境下的虚拟测试软件.实践证明,基于LabVIEW的测试软件系统更为高效、易行.

  12. Marine Corps Operational Medicine: Determining Medical Supply Needs of the Surgical Company Ward, Lab, and Pharmacy

    Science.gov (United States)

    2007-11-02

    Ranitidine Injection USP 25mg/Ml 2ml Single Dose Vial 10s 3.00 PG 0.630 0.06 $34.11 0634 6505014623025 Ringer’s Injection Lactated USP 1000ml Bag 12...5.26 0634 6505005824737 Tetracaine Hydrochloride Ophthalmic Solution 0.5% 15 Ml 1.00 BT 0.100 0.01 $3.39 0634 6505001394600 Tetrahydrozoline...Hydrochloride Ophthalmic Solution USP 0.05%15ml 1.00 BT 0.070 0.00 $3.36 0634 6505010696520 Theophylline Extended-Release Tablets 300mg 1000 Tablets

  13. 3D Surgical Simulation

    Science.gov (United States)

    Cevidanes, Lucia; Tucker, Scott; Styner, Martin; Kim, Hyungmin; Chapuis, Jonas; Reyes, Mauricio; Proffit, William; Turvey, Timothy; Jaskolka, Michael

    2009-01-01

    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

  14. [Tasks performed by nurses at inpatient units in a training hospital].

    Science.gov (United States)

    Costa, Rita de Almeida; Shimizu, Helena Eri

    2005-01-01

    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.

  15. Job satisfaction of Malaysian registered nurses: a qualitative study.

    Science.gov (United States)

    Atefi, Narges; Abdullah, Khatijah L; Wong, Li P

    2016-01-01

    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

  16. Work environments of different types of nursing subunits.

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    Leatt, P; Schneck, R

    1982-11-01

    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.

  17. Nurses' perceptions and practice of physical restraint in China.

    Science.gov (United States)

    Jiang, Hui; Li, Chen; Gu, Yan; He, Yanan

    2015-09-01

    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.

  18. Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice

    Directory of Open Access Journals (Sweden)

    Mardiyono Mardiyono

    2011-01-01

    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

  19. Mock Code: A Code Blue Scenario Requested by and Developed for Registered Nurses

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    Rideout, Janice; Pritchett-Kelly, Sherry; McDonald, Melissa; Mullins-Richards, Paula; Dubrowski, Adam

    2016-01-01

    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

  20. Tele-Lab IT-Security: an Architecture for an online virtual IT Security Lab

    Directory of Open Access Journals (Sweden)

    Christoph Meinel

    2008-05-01

    Full Text Available Recently, Awareness Creation in terms of IT security has become a big thing – not only for enterprises. Campaigns for pupils try to highlight the importance of IT security even in the user’s early years. Common practices in security education – as seen in computer science courses at universities – mainly consist of literature and lecturing. In the best case, the teaching facility offers practical courses in a dedicated isolated computer lab. Additionally, there are some more or less interactive e-learning applications around. Most existing offers can do nothing more than impart theoretical knowledge or basic information. They all lack of possibilities to provide practical experience with security software or even hacker tools in a realistic environment. The only exceptions are the expensive and hard-to-maintain dedicated computer security labs. Those can only be provided by very few organizations. Tele-Lab IT-Security was designed to offer hands-on experience exercises in IT security without the need of additional hardware or maintenance expenses. The existing implementation of Tele-Lab even provides access to the learning environment over the Internet – and thus can be used anytime and anywhere. The present paper describes the extended architecture on which the current version of the Tele-Lab server is built.