scholarly journals Entry-instrument used in the patient's evaluation in a post-anaesthetic recovery room: a matter of great concern: care continuity

2008 ◽  
Vol 21 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Elaine Reda ◽  
Aparecida de Cássia Giani Peniche
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Recovery Room ◽  
Patient Record ◽  
Efficient Strategy ◽  
Care Continuity ◽  
Post Operative Period ◽  
To Receive ◽  
Shift Change

OBJECTIVE: To know the nurses' evaluation about the continuity of nursing care. METHODS: Fifty-nine nurses from two Hospitals (I and II) were interviewed. The questions addressed the following issues: the difficulties they face to obtain the necessary information to provide patient care in the immediate post-operative period; what is the best strategy to receive information related to this period; and what is their evaluation about the entry-instrument of the post anaesthetic recovery. RESULTS: Difficulties in Hospital I: the instrument was often not included in the patient record and changing shifts over the telephone. Hospital II: incomplete completion of the instrument. Best strategy in Hospital I: entry-instrument associated to the shift change over the telephone. Hospital II: to aggregate the several means of information. Both groups evaluated the entry instrument and reported that it helps in the planning because it is a way to document patient care. They considered the aspects contained in the instrument as important and pertinent. CONCLUSIONS: This instrument consists of an efficient strategy for patient care continuity, in spite of the difficulties described above.

Documentation of Individualized Patient Care: a qualitative metasynthesis

2005 ◽  
Vol 12 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Oili Kärkkäinen ◽  
Terese Bondas ◽  
Katie Eriksson
Keyword(s):  
Qualitative Research ◽  
Patient Care ◽  
Nursing Care ◽  
Ethical Principles ◽  
Nursing Documentation ◽  
Good Patient ◽  
Accurate Picture ◽  
To Receive

The aim of this study was to increase understanding of how individual patient care and the ethical principles prescribed for nursing care are implemented in nursing documentation. The method used was a metasynthesis of the results of 14 qualitative research reports. The results indicate that individualized patient care is not visible in nurses’ documentation of care. It seems that nurses describe their tasks more frequently than patients’ experiences of their care. The results also show that the structure of nursing documentation and the forms or manner of recording presupposed by the organization may prevent individual recording of patient care. In order to obtain visibility for good patient-centred and ethical nursing care, an effort should be made to influence how the content of nursing care is documented and made an essential part of individual patient care. If the content of this documentation does not give an accurate picture of care, patients’ right to receive good nursing care may not be realized.

The Effect of Nocturnal Patient Care Interventions on Patient Sleep and Satisfaction With Nursing Care in Neurosurgery Intensive Care Unit

2015 ◽  
Vol 47 (2) ◽  
pp. 104-112 ◽  
Author(s):  
Gülay Altun Uğraş ◽  
Sultan Babayigit ◽  
Keziban Tosun ◽  
Güler Aksoy ◽  
Yüksel Turan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Care ◽  
Nursing Care

scholarly journals Nursing care in the anesthetic procedure: an integrative review

2016 ◽  
Vol 50 (1) ◽  
pp. 154-162 ◽  
Author(s):  
Cassiane de Santana Lemos ◽  
Aparecida de Cassia Giani Peniche
Keyword(s):  
United States ◽  
Health System ◽  
Patient Care ◽  
Nursing Care ◽  
Scientific Evidence ◽  
The United States ◽  
Nurse Anesthetists ◽  
Integrative Review ◽  
Nursing Professional

Abstract OBJECTIVE To search for the scientific evidence available on nursing professional actions during the anesthetic procedure. METHOD An integrative review of articles in Portuguese, English and Spanish, indexed in MEDLINE/PubMed, CINAHL, LILACS, National Cochrane, SciELO databases and the VHL portal. RESULTS Seven studies were analyzed, showing nurse anesthetists' work in countries such as the United States and parts of Europe, with the formulation of a plan for anesthesia and patient care regarding the verification of materials and intraoperative controls. The barriers to their performance involved working in conjunction with or supervised by anesthesiologists, the lack of government guidelines and policies for the legal exercise of the profession, and the conflict between nursing and the health system for maintenance of the performance in places with legislation and defined protocols for the specialty. Conclusion Despite the methodological weaknesses found, the studies indicated a wide diversity of nursing work. Furthermore, in countries absent of the specialty, like Brazil, the need to develop guidelines for care during the anesthetic procedure was observed.

Experience in performance of graduate qualification work on PM 04. Work of an employee «Junior medical nurse for patient care»

2021 ◽  
pp. 56-62
Author(s):  
Olga Borisovna Fanina
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Medical Rehabilitation

The article presents the pedagogical experience of supervising the writing of coursework and final qualifying work, united by the issues of organizing nursing care and medical rehabilitation of patients with stroke.

Challenging nursing spaces

2018 ◽  
pp. 59-92
Author(s):  
Jane Brooks
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Clinical Skills ◽  
Healing Process ◽  
Weather Conditions ◽  
Second World War ◽  
World War ◽  
Hospital System ◽  
Nursing Sisters ◽  
Second World

The creation of spaces conducive to healing is a critical aspect of the provision of good nursing care. The nursing sisters of the British Army, having trained in the British hospital system would have been well versed in the need to create and maintain and environment in which healing could take place. The zones into which they were posted during the Second World War and the spaces they were given in which to care for their patients, were however, rarely either favourable to health or to the ‘serenity and security’ needed for recovery. Extreme weather conditions, limited water supplies, equipment and electricity combined to hinder all aspects of patient care. The often hostile places in which nurses worked demanded that they develop clinical skills and the ability to improvise and innovate in order create healing spaces for their soldier-patients. However, as the chapter argues it was the highly feminised home-maker work that created these spaces, which the nurses themselves credited to be an essential aspect to the healing process in which they were the critical performers.

scholarly journals Section 2: Patient Records: Electronic Patient Records and their Benefit for Patient Care

2006 ◽  
Vol 15 (01) ◽  
pp. 40-42
Author(s):  
P. Knaup ◽  
Keyword(s):  
Patient Care ◽  
Electronic Patient Record ◽  
Patient Record ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Quality Patient Care ◽  
Access To Health ◽  
Excellent Research ◽  
Therapy Attitudes ◽  
Ward Rounds

SummaryTo summarize current excellent research in the field of patient records.Synopsis of the articles selected for the IMIA Yearbook 2006.Current research in the field of patient records analyses users’ needs and attitudes as well as the potential and limitations of electronic patient record systems. Particular topics are the questions physicians have when assessing patients during ward rounds, the timeliness of results when ordered electronically, the quality of documenting haemophilia home therapy, attitudes towards patient access to health records and adequate strategies for record linkage in dependence on the intended purpose.The best paper selection of articles on patient records shows examples of excellent research on methods used for the management of patient records and for processing their content as well as assessing the potential, limitations of and user attitudes towards electronic patient record systems. Computerized patient records are mature, so that they can contribute to high quality patient care and efficient patient management.

scholarly journals The relationship between the level of μ-opioid receptor (μORs) and postoperative analgesic use in patients undergoing septoplasty: a prospective randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Muzaffer Gencer ◽  
Ayşe Yeşim Göçmen
Keyword(s):  
Opioid Receptor ◽  
Recovery Room ◽  
Control Group ◽  
Analgesic Requirement ◽  
Post Operative Period ◽  
Post Operative Pain ◽  
Analgesic Agents ◽  
Vas Scores ◽  
Μ Opioid Receptor ◽  
Analgesic Use

Abstract Background In this study, the μ-Opioid receptor activity was assessed pre-operatively for its association with postoperative pain level and second analgesic requirement in patients undergoing septoplasty. Methods In our prospective study, 120 adult patients underwent septoplasty from June 2015 to January 2019 were randomly divided into 2 pre-operative groups. The first group (n = 60) was patients given tramadol (1–2 mg/kg) for post-operative analgesia, and the second group (control group) (n = 60) was initially prescribed only fentanyl (1 μg/ kg-i.v.) in the induction. Acetaminophen with codeine analgesic 325/30 mg (p.o.) was used as an rescue painkiller in the post-operative period. The μ-Opioid receptor activity was investigated in pre-operative blood samples and compared to post-operative pain level and time required for second round of analgesic administration. The visual analogue score (VAS) was used to evaluate the post-operative pain degree (0 no pain; 10 worst pain). The patients’ post-operative VAS scores were evaluated upon arrival to recovery room, and at the 1st, 3rd, 7th, 10th, and 24th hour post-operative period. Results Demographic data and peri-operative variables were similar in both study group (p < 0.05).There was no significant difference between the receptor levels in both groups and the mean receptor level was 200.94 ± 15.34 pg/mL (max:489.92 ± 22.36 pg/mL, min: 94.56 ± 11.23 pg/mL).In patients who used tramadol as the levels of μ-Opioid receptors increased, VAS scores of patients and second analgesic use decreased in post-operative period.The VAS scores in patients with higher receptor levels were lower in the recovery room (p < 0.05), 1st (p < 0.05) and 3rd hours (p < 0.05).The VAS scores were lower in the tramadol group compared to the control group (p < 0.05).Number of secondary analgesic requirement was significantly lower in patients of the tramadol group with higher receptor levels compared to the ones with lower receptor (p < 0.05) for arrival at the recovery room and 1st hour. Patients in the tramadol group needed a second pain killer much later than patients in the control group. Conclusions Our study demonstrates that patients with higher μOR levels have a higher efficacy of opioid analgesic agents and an lesser need for additional analgesic agents. Trial registration This trial was registered retrospectively (The ACTRN: ACTRN12619001652167, registration date: 26/11/2019).

scholarly journals The day the residents left: lessons learnt from COVID-19 for ambulatory clinics

2020 ◽  
Vol 8 (3) ◽  
pp. e000513
Author(s):  
Benjamin R Doolittle ◽  
Bradley Richards ◽  
Amerisa Tarabar ◽  
Matthew Ellman ◽  
Daniel Tobin
Keyword(s):  
Medical Students ◽  
Patient Care ◽  
Social Isolation ◽  
Video Conferencing ◽  
Senior Leadership ◽  
Key Stakeholders ◽  
Vulnerable Patients ◽  
Hospitalised Patients ◽  
To Receive ◽  
Future Practice

As the COVID-19 pandemic began, the residents from our ambulatory clinics were pulled to cover the increasing numbers of hospitalised patients. To provide care for our 40 000 patients, without resident support, we needed to develop quickly a new culture of communication and innovation. We accomplished this by regular, transparent meetings with senior leadership and key stakeholders who were empowered to make rapid decisions. We then convened regular meetings with clinic leadership and frontline providers to receive feedback and implement new practices. These rapid meeting cycles allowed for a nimble response to a changing landscape. We optimised our video-conferencing and telehealth services, reached out to our most vulnerable patients and engaged other providers and medical students who were not engaged in patient care due to social isolation practices. We discuss the implications of these innovations on our future practice.

scholarly journals Educational objectives make or break the quality of patient care

Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
Charlotte Searle
Keyword(s):  
Nursing Education ◽  
Patient Care ◽  
Nursing Care ◽  
Important Criterion ◽  
Educational Objectives ◽  
Quality Of Patient Care

A most important criterion in nursing education is that a definite end must be kept in view. This end purpose or terminal outcome is the concept of Quality nursing care.

All CLEAR? Preparing for IT Downtime

2016 ◽  
Vol 32 (5) ◽  
pp. 547-551 ◽  
Author(s):  
Deanne T. Kashiwagi ◽  
Meredie D. Sexton ◽  
C. Estelle Souchet Graves ◽  
Jay M. Johnson ◽  
Byron I. Callies ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Patient Safety ◽  
Patient Care ◽  
Self Report ◽  
Health Care Information ◽  
Care Continuity ◽  
Work Area ◽  
Health Care Information Technology ◽  
Care Information

Health care information technology (IT) outages pose a threat to patient safety and patient care continuity. Organizations’ downtime plans must be updated regularly and staff at the work area level should have experience with implementing IT outage operations through downtime drills. This article describes the study institution’s IT Outage Toolkit, based on the acronym CLEAR, which guides the development of a downtime plan as well as design, execution, and assessment of work area downtime drills. Self-report and external audits of downtime drills help identify performance gaps and gaps in downtime plans.

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