1311: IMPACT OF SEDATION TITRATION GUIDELINES ON NURSING SATISFACTION AND SEDATION EXPOSURE IN THE PICU

Background: An effective hand-off process promotes transfer of critical information during transitions of care, thus decreasing the risk of adverse events. For patients with neurological symptoms, exchanging information over the phone may not provide the complete clinical picture of the patient and may contribute to the receiving nurse under appreciating early neurological changes. However, having the nurse leave a busy emergency department (ED) to perform bedside hand-off on the neuroscience unit (NSU) is often not realistic. Purpose: To improve nursing satisfaction with the hand-off process between the ED and the NSU, comparing video and phone report. Methods: The population consisted of stroke patients admitted from the ED to the NSU over a three month period. The intervention was offering a computer with video for the ED nurse to share pertinent information and perform a neurological exam, a process which allowed the receiving nurse to ask questions and interact with the patient. Nurses who used the video hand-off (n=24) were surveyed at the end of the pilot project to measure their satisfaction. Results: Overall, the nurses were more satisfied using video. (Figure). The increase in percentage of nurses answering “Strongly Agree”/ “Agree” were noted in these areas: 71%-85% for relevance of information, 68%-81% for efficiency, 54%-58% for staff relationships, 33%-63% for patient engagement, and 42%-75% for reducing risk for error. Conclusions: The use of video during transition of care provides an option for hospitals to employ an interactive handoff between departments without the sacrifice of time. Nursing should further explore the benefits of video technology during transitions of care, particularly inter-departmental transfers for special populations.

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Analysis on Nursing Effect of Octreotide on Acute Pancreatitis

Tobacco Regulatory Science ◽

10.18001/trs.7.4.7 ◽

2021 ◽

Vol 7 (4) ◽

pp. 300-307

Author(s):

Chenxia Wu ◽

Li He

Keyword(s):

Acute Pancreatitis ◽

Clinical Symptoms ◽

Nursing Intervention ◽

Effective Rate ◽

Occurrence Rate ◽

Control Group ◽

Observation Group ◽

Clinical Value ◽

Nursing Satisfaction ◽

Satisfaction Scale

To explore the clinical value of octreotide therapy and nursing intervention in patients with acute pancreatitis. 120 patients with acute pancreatitis admitted to the Department of Digestive Medicine from June 2018 to August 2019 were selected. Two groups of patients were treated with octreotide. They were randomly divided into observation group (intensive nursing intervention) and control group (routine nursing) with 60 patients in each group. Compared with the control group (81.67%), the total effective rate (93.33%) was higher in the observation group (P<0.05%); After treatment, C reactive protein, lactate dehydrogenase, WBC and hemodiastase of patients in the observation group were better than those in the control group (P<0.05); compared with the control group (18.33%), the occurrence rate of hypoglycemia in the observation group (6.67%) was lower (P<0.05%); At the same time, the Nursing Satisfaction Scale of the observation group (95.00%) was higher than that of the control group (78.33%), (P<0.05%). Patients with acute pancreatitis treated with octreotide and strengthened nursing intervention can obtain more obvious therapeutic effect, so that the clinical symptoms and related laboratory indicators of patients have been significantly improved. At the same time, the clinical value was significant with a lower occurrence rate of hypoglycemia and higher nursing satisfaction scale.

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Influence of Human-oriented Nursing Mode on Self-Care Ability, Unhealthy Emotion and Quality of Life of Patients with Benign Prostatic Hyperplasia

Tobacco Regulatory Science ◽

10.18001/trs.7.4.1.16 ◽

2021 ◽

Vol 7 (4) ◽

pp. 635-646

Author(s):

Feifei Peng ◽

Guangchi Xu ◽

Caihong Zhu ◽

Lanchun Sun ◽

Bo Dong ◽

...

Keyword(s):

Quality Of Life ◽

Benign Prostatic Hyperplasia ◽

Postoperative Complications ◽

Self Care ◽

Nursing Intervention ◽

Prostatic Hyperplasia ◽

The Self ◽

Nursing Satisfaction ◽

Before And After

To explore the influence of human-oriented nursing mode on the self-care ability, unhealthy emotion and quality of life of patients with benign prostatic hyperplasia (BPH), 147 patients with BPH admitted to our hospital from February 2018 to August 2019 were selected and all patients were separated into two groups on the basis of the nursing intervention mode. 77 cases in the research group (RG) were given the human-oriented nursing mode and 70 cases in the control group (CG) were given the conventional nursing mode. The bladder irrigation time (BIT), indwelling catheter time (ICT), postoperative hospitalization time (PHT) and the incidence rate of postoperative complications were observed in the two groups after nursing intervention. Before and after nursing intervention, the self-care ability of patients was evaluated in the two groups by Exercise of Self-Care Agency Scale (ESCA). In the two groups, the anxiety and depression status were evaluated by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The Quality of Life Scale for Benign Prostatic Hyperplasia Patient (BPHQLS) was applied to evaluate the quality of life in both groups before and after nursing intervention. The International Prostate Symptom Score (IPSS) was used to assess the lower urinary tract symptoms (LUTS) of patients in the two groups before and after nursing intervention. The self-made nursing satisfaction questionnaire was used to evaluate the nursing satisfaction in the two groups. The BIT, ICT and PHT in RG after nursing intervention were obviously lower than those in CG, and the incidence of postoperative complications in RG was also obviously lower than that in CG (p < 0.05). The ESCA score of patients in RG after nursing intervention was significantly higher than that in CG (P < 0.05). The SAS and SDS scores of patients in RG after nursing intervention were significantly lower than those in CG (P < 0.05). The BPHQLS score in RG after nursing intervention was obviously higher than that in CG (P < 0.05). The IPSS score of patients in RG after nursing intervention was obviously lower than that in CG (p < 0.05). The nursing satisfaction score in RG after nursing intervention was obviously higher than that in CG (p < 0.05).Condusion: The application effect of the human-oriented nursing mode on patients with BPH is definite, which can improve self-care ability, unhealthy emotion and effectively ameliorate the quality of life.

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Influence of Psychological Nursing Intervention on Psychological State, Treatment Compliance, and Immune Function of Postoperative Patients with Rectal Cancer

Journal of Oncology ◽

10.1155/2021/1071490 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Xicai Sun ◽

Weifeng Zhong ◽

Jingjing Lu ◽

Wenzhen Zhuang

Keyword(s):

Rectal Cancer ◽

Immune Function ◽

Mental State ◽

Research Group ◽

Treatment Compliance ◽

Nursing Intervention ◽

Postoperative Chemotherapy ◽

Control Group ◽

Nursing Satisfaction ◽

Self Rating

In order to explore the clinical effect of psychological nursing intervention on postoperative chemotherapy for rectal cancer, 120 cases of rectal cancer patients were selected as the research subjects. The control group received conventional nursing treatment after operation, and the research group received comprehensive psychological nursing intervention on this basis. The self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, hope level scores, nursing satisfaction, mental state changes, treatment compliance, and immune function of two groups were analyzed and compared. There was no significant difference between the two groups of patients in the preoperative SAS, SDS, and hope level scale scores. After the intervention, postoperative SAS and SDS scores and CD8+ value of the research group were significantly lower than those of the control group. In contrast, the postoperative hope level score, treatment compliance, and postoperative CD4+/CD8+ of the research group were significantly higher, and the nursing satisfaction was better than that of the control group. The application of psychological nursing intervention in postoperative chemotherapy for patients with rectal cancer can effectively relieve anxiety and depression of patients, promote patients to establish a healthy and coordinated mental state, improve treatment compliance, improve immune function, and promote disease recovery.

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Percepção dos trabalhadores de enfermagem acerca da satisfação no contexto do trabalho na UTI

Enfermagem em Foco ◽

10.21675/2357-707x.2012.v3.n2.262 ◽

2012 ◽

Vol 3 (2) ◽

pp. 93-96 ◽

Cited By ~ 6

Author(s):

Rosemary Silva Da Silveira ◽

Cíntia Regina Funck ◽

Valéria Lerch Lunardi ◽

Liziani Iturriet Avila ◽

Wilson Danilo Lunardi Filho ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Nursing Staff ◽

Nursing Satisfaction ◽

Qualitative Survey ◽

Terapia Intensiva

Objetivou-se conhecer as percepções dos trabalhadores de enfermagem acerca da satisfação ou ausência de satisfação no contexto do trabalho de uma Unidade de Terapia Intensiva. Realizou-se a pesquisa qualitativa por meio da técnica de entrevista com 13 trabalhadores. Do processo de análise, emergiram duas categorias: o trabalho como fonte de satisfação para os trabalhadores da enfermagem da UTI e a ausência de satisfação no contexto do fazer dos trabalhadores da enfermagem da UTI.Descritores: Trabalhadores, Enfermagem, Satisfação no Trabalho.Perception of nursing staff about the satisfaction in work in the ICUIt was aimed to find out about the perceptions of the Nursing workers regarding the satisfaction or lack of satisfaction in the context of the job in the Intensive Care Unit. A qualitative survey was carried out by means of interviews with thirteen workers. From the process of the analysis, two categories emerged: Working as a source of satisfaction for the nursing workers in the ICU and Lack of satisfaction in the context of the job of the workers in the ICU.Descriptors: Workers, Nursing, Satisfaction at Work.Percepción del personal de enfermería acerca de la satisfacción en el trabajo en la UCISe objetivó conocer la percepción de los trabajadores de enfermería acerca de la satisfacción o falta de satisfacción en el contexto de trabajo en una Unidad de Terapia Intensiva. Se ha realizado la pesquisa cualitativa de encuesta con trece trabajadores. Del proceso de análisis, emergieron dos categorías: el trabajo como medio de satisfacción para los trabajadores de enfermería de la UTI y la falta de satisfacción en el contexto del hacer de los trabajadores de enfermería de la UTI.Descriptores: Trabajadores, Enfermería, Satisfacción en el Trabajo.

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Effect of the WeChat Platform Health Management and Refined Continuous Nursing Model on Life Quality of Patients with Acute Myocardial Infarction after PCI

Journal of Healthcare Engineering ◽

10.1155/2021/5034269 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Meifang Xu ◽

Xiaofang Yang ◽

Lin Liu ◽

Yunlang Dai ◽

Mingzhu Xu ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Research Group ◽

Health Management ◽

Reference Group ◽

Medication Compliance ◽

Life Quality ◽

Nursing Satisfaction ◽

Sf 36

The purpose was to explore the effect of the WeChat platform health management and refined continuous nursing model on life quality of patients with acute myocardial infarction (AMI) after PCI. 100 AMI patients treated in the cardiovascular medicine of the First Affiliated Hospital of Soochow University from June 2018 to June 2019 were selected as the study subjects and randomly divided into research group and reference group, with 50 cases in each group. The reference group received routine nursing after PCI, while the research group received WeChat platform health management and continuous refined nursing. There were no significant differences in sex ratio, age, BMI, complications, education level, and residence between the two groups of patients ( P > 0.05 ). The MPR values of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.05 ), and the MPR value in the research group after intervention was significantly higher than that in the reference group ( P < 0.05 ). The SF-36 scores of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.001 ), and the SF-36 score in the research group after intervention was higher than that in the reference group ( P < 0.001 ). The emotional, physical, and economic dimensions of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The HAMA and HAMD scores of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The nursing satisfaction score of patients in the research group was significantly higher than that in the reference group ( P < 0.001 ). The total incidence of complications of patients in the research group after intervention was significantly lower than that in the reference group ( P < 0.05 ). The WeChat platform health management and refined continuous nursing model can effectively improve the medication compliance of patients after PCI, improve the life quality, alleviate depression and anxiety, and reduce postoperative complications, with a definite effect, which is worthy of promotion and application.

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Nursing Effects of Medical Treatment Combination on Patients at High Risk of Developing Pressure Ulcers at Rural Homes

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i3.1206 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Hua Qin ◽

Xiuqiong Hu

Keyword(s):

High Risk ◽

Medical Treatment ◽

Pressure Ulcers ◽

Control Group ◽

Treatment Combination ◽

Nursing Satisfaction ◽

Second Stage ◽

The Third ◽

Patients Satisfaction ◽

Third Stage

Objective: To explore the nursing effects of medical treatment combination on patients at high risk of developing pressure ulcers at rural homes. Methods: From January 2018 to December 2018, 86 patients at high risk of developing pressure ulcers at rural homes who were in Wenjiang Hospital were randomly divided into a control group and an observed group. The control group received the routine publicity and education and visiting, while the observed group adopted the cooperative nursing model of medical treatment combination. Then compare the healing status and nursing satisfaction of the two groups. Results: Of the 43 patients with pressure ulcers in the observed group, 18 had been in the second stage of pressure ulcers and 16 had been healed; 14 had been in the third stage of pressure ulcers and 8 had been healed; 11 had been in the fourth stage of pressure ulcers and 5 had been healed. The nursing satisfaction of the patients in the observed group was 95.35%. Conclusion: Conducting medical treatment combination on patients at high risk of developing pressure ulcers at rural homes can effectively improve the patients’ and their families’ awareness of pressure ulcer nursing, standardize their nursing behaviour, help recover the patients themselves and promote the patients’ satisfaction.

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Evaluating nursing satisfaction and utilization of the Clinical Institute Withdrawal Assessment for Alcohol, revised version (CIWA-Ar)

Mental Health Clinician ◽

10.9740/mhc.2016.05.114 ◽

2016 ◽

Vol 6 (3) ◽

pp. 114-119 ◽

Cited By ~ 1

Author(s):

Opal Bacon ◽

Sophie Robert ◽

Amy VandenBerg

Keyword(s):

Nursing Staff ◽

Medical Center ◽

Academic Medical Center ◽

Vital Signs ◽

Retrospective Chart Review ◽

Alcohol Withdrawal Syndrome ◽

Total Daily Dose ◽

Training Methods ◽

Nursing Satisfaction ◽

Clinical Nurses

Abstract Introduction: The Clinical Institute Withdrawal Assessment for Alcohol, revised version (CIWA-Ar), developed and validated for research, is used in our inpatient academic medical center. We sought to assess nursing satisfaction with the scale itself, training for using the scale, and nursing staff use of the CIWA-Ar. Methods: A retrospective chart review included all patients with an order for CIWA-Ar between August 1, 2014, and September 30, 2014. Data collected included demographics, admitting diagnosis, vital signs, admission blood alcohol level, lorazepam total daily dose, and CIWA-Ar scores. Nursing staff was sent an anonymous, 26-question survey in January 2015. The survey collected demographics, training history, and recommendations for modifications to the CIWA-Ar. Results: During the 2-month period, 274 patients had orders for CIWA-Ar, with 113 receiving at least one dose of lorazepam. Lorazepam was not given to 21% of patients when they scored >8 on the CIWA-Ar, whereas 71% of patients received a dose of lorazepam when they had a CIWA score <8. The survey was sent to 2011 clinical nurses, with 284 responses received (14% response rate). Only 36% of responding nurses felt adequately trained to administer the CIWA-Ar. Most nurses preferred on-the-job and online training methods. Discussion: Nursing use of the CIWA-Ar could be optimized at this institution. Fewer than half of respondents reported feeling adequately training to administer the CIWA-Ar. Results will be used to improve training for nursing staff regarding scoring of the CIWA-Ar and administering lorazepam to treat alcohol withdrawal syndrome.

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