Barriers preventing high-quality nursing care of people with disabilities within acute care settings: a thematic literature review

2013 ◽  
Vol 28 (7) ◽  
pp. 937-954 ◽  
Author(s):  
Sophie Brown ◽  
Evdokia Kalaitzidis
Keyword(s):  
Literature Review ◽  
Acute Care ◽  
Nursing Care ◽  
People With Disabilities ◽  
High Quality ◽  
Acute Care Settings

Finding Patterns of Meaning: Margaret Newman’s Theory of Health as Expanding Consciousness

2017 ◽  
Vol 23 (4) ◽  
pp. 207-214
Author(s):  
Ahtisham Younas ◽  
Sobia Parveen
Keyword(s):  
Literature Review ◽  
Acute Care ◽  
Nursing Care ◽  
Nursing Practice ◽  
Social Aspects ◽  
The Past ◽  
Acute Care Settings ◽  
Health As Expanding Consciousness ◽  
Practice Education ◽  
Theory Of Health

This article presents an evaluation of Margaret Newman’s theory of health as expanding consciousness, through a literature review, to determine its usefulness for nursing practice and research. The evaluation illustrates that Newman’s theory is valuable for guiding various aspects of nursing practice, education, and research. However, its use had been limited to spiritual, psychological, and social aspects of nursing care and needs to be further evaluated for its significance in acute care settings. Most of the studies that use Newman’s theory are from the past, with limited studies conducted in recent years, indicating the need for further research.

scholarly journals P082: Correlation between serum and blood gas: a review on the accuracy of electrolyte readings obtained blood gases

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S106-S106
Author(s):  
J. Lindgren ◽  
S. Dowling
Keyword(s):  
Literature Review ◽  
Patient Care ◽  
Acute Care ◽  
Point Of Care ◽  
Blood Gases ◽  
Validity And Reliability ◽  
Physiological Level ◽  
High Acuity ◽  
Acute Care Settings ◽  
Sodium And Potassium

Introduction: In the Emergency Department (ED), increasing time pressures and acuity require physicians to have access to quick and reliable data to guide patient care decisions. Blood gases (BGs) allow quick access to key information, and are used frequently in the ED. Our objective was to review the literature on reliability and accuracy of electrolyte measurements obtained from BGs in high acuity settings. Methods: A comprehensive literature review was conducted in September of 2015. The search strategy, done in conjunction with a medical librarian, identified studies that assessed the accuracy of BGs when compared to traditional laboratory serum measurements. Prior to the review we determined sodium and potassium would be the area of focus. Eligibility parameters for the studies included samples from acute care areas - the ED and ICU - and a comparison of BG and serum values taken simultaneously from the patient. Results: Our review included 12 studies, 9 in adult and 3 in pediatrics. There were approximately 1,135 patients included, consisting of 851 adult and 284 pediatric cases. The results were mixed; 9 studies agreed that sodium and potassium readings from BGs were accurate enough to guide acute care decisions, 5 did not. Furthermore, important questions were raised regarding the varying accuracy of BGs depending on what physiological level the electrolytes were at during the time of collection, i.e. at critical vs non-critical levels. Conclusion: This is the first literature review to examine the existing evidence on the accuracy of BGs in acute care environments. Given the variability in the results, a larger study needs to be done to determine the validity and reliability of blood gases for electrolytes in acute care settings. Only by ensuring the accuracy of data collected via point-of-care BGs can the most informed decisions be made surrounding patient care in acute care settings.

80 An Exploration of What Stakeholders Reveal About the Behaviours and Personality of Registered Nurses Working in Older People’s Acute Care Settings and the Potential Influence on Nursing Care

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i25-i26
Author(s):  
H Day
Keyword(s):  
Older People ◽  
Personality Traits ◽  
Acute Care ◽  
Nursing Care ◽  
Nursing Staff ◽  
Positive Impact ◽  
Care Delivery ◽  
Structured Interviews ◽  
Authentic Self ◽  
Acute Care Settings

Abstract Background Concern around poor standards of nursing care for older people in hospital has been explored in relation to workload and operational pressures. What is less evident from existing literature is an explanation as to why nurses behave differently under the same pressures within the same concrete situations. Notions of personality and associated behaviours as possible influencers on nursing care delivery are variables that required consideration. Aim To critically explore the behaviours of registered nursing staff working in older people's acute care settings from the perspectives gathered from key stakeholders, and to identify whether there are any distinguishing personality traits that influence effective care delivery for older people. Methods A constructivist grounded theory methodology was used. Semi structured interviews were conducted to gather data from 12 stakeholder participants. Results Through the analysis of data gathered from stakeholders a rubric describing specific behaviours with associated traits emerged leading to the identification of two major types of nursing staff. One group of nurses who work with older people are perceived to have no real desire to do so and in turn their care behaviours are perceived as ‘cold’ and task based. The second group of nurses are perceived as having a true commitment to older people’s wellbeing and their behaviours lead to the delivery of care that is perceived as being highly skilled and compassionate. The proposed theoretical framework that was constructed from this data analysis identifies four key personality traits related to nursing behaviours: conscientiousness, sociability, integrity and coping under a core category heading of ‘the authentic self’. Whilst the authentic self is identified as being the direct influencer on how care is delivered which is defined as the consequence, the influence of context is also taken into account. Conclusions This research offers insights into the meaning of four key traits and the behavioral facets comprising them, the associated behaviors that are displayed and what effect these have on nursing care delivery. Implications for healthcare practice include the potential for further research that can inform the development of educational and recruitment strategies for older people’s nurses which will have a positive impact on the care of the older patient in hospital.

Best practice interventions to improve the management of older people in acute care settings: a literature review

2007 ◽  
Vol 60 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Louise Hickman ◽  
Phillip Newton ◽  
Elizabeth J. Halcomb ◽  
Esther Chang ◽  
Patricia Davidson
Keyword(s):  
Literature Review ◽  
Older People ◽  
Acute Care ◽  
Best Practice ◽  
Acute Care Settings

The effectiveness of the bone bridge transtibial amputation technique: A systematic review of high-quality evidence

2016 ◽  
Vol 41 (3) ◽  
pp. 219-226 ◽  
Author(s):  
Jason T Kahle ◽  
M Jason Highsmith ◽  
John Kenney ◽  
Tim Ruth ◽  
Paul A Lunseth ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Clinical Practice ◽  
Literature Review ◽  
Acute Care ◽  
Perioperative Care ◽  
Clinical Relevance ◽  
High Quality ◽  
Subjective Analysis ◽  
Bone Bridge ◽  
Quality Evidence

Background:This literature review was undertaken to determine if commonly held views about the benefits of a bone bridge technique are supported by the literature.Methods:Four databases were searched for articles pertaining to surgical strategies specific to a bone bridge technique of the transtibial amputee. A total of 35 articles were identified as potential articles. Authors included methodology that was applied to separate topics. Following identification, articles were excluded if they were determined to be low quality evidence or not pertinent.Results:Nine articles were identified to be pertinent to one of the topics: Perioperative Care, Acute Care, Subjective Analysis and Function. Two articles sorted into multiple topics. Two articles were sorted into the Perioperative Care topic, 4 articles sorted into the Acute Care topic, 2 articles into the Subjective Analysis topic and 5 articles into the Function topic.Discussion:There are no high quality (level one or two) clinical trials reporting comparisons of the bone bridge technique to traditional methods. There is limited evidence supporting the clinical outcomes of the bone bridge technique. There is no agreement supporting or discouraging the perioperative and acute care aspects of the bone bridge technique. There is no evidence defining an interventional comparison of the bone bridge technique.Conclusion:Current level III evidence supports a bone bridge technique as an equivalent option to the non-bone bridge transtibial amputation technique. Formal level I and II clinical trials will need to be considered in the future to guide clinical practice.Clinical relevanceClinical Practice Guidelines are evidence based. This systematic literature review identifies the highest quality evidence to date which reports a consensus of outcomes agreeing bone bridge is as safe and effective as alternatives. The clinical relevance is understanding bone bridge could additionally provide a mechanistic advantage for the transtibial amputee.

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