The purpose of this study was to determine if nurses and families agree regarding the most important needs of families with head injured members in the acute rehabilitation hospital. Furthermore, it was hoped that an understanding of these needs would assist rehabilitation nurses in developing appropriate nursing interventions to assist families in fulfilling their perceived needs.
subject
Nursing Head- Wounds and injuries Nurse and patient
Clinical evaluation of student nurses has long been an area of concern for nurse educators. It can be defined as the process of assessing the student’s progress in all educational experiences
outside the formal classroom situation. It refers to the student’s ability to provide safe, competent nursing care under supervision to provide safe competent nursing care under supervision to its
clients. Clinical evaluation is one of the most widely discussed topics at seminars and in the nursing literature today., Copyright is retained by the author. Please contact Susan Kalkhof Vitron for further use of this material.
Pamela Holsclaw noted that sympathy, compassion, and involvement are being recognized more and more as essential components of nursing care by those who see this care as an interpersonal process. Since people risk emotional hurt in any interpersonal relationship, nurses are always vulnerable in the nurse-client relationship. Our culture views health professionals as a symbol of cure, restorers of health, and healers of disease. The potential for cure or complete restoration of health is limited with clients in intensive care units (ICU), coronary care units (CCU), and rehabilitation centers; therefore, health professionals view clients in ICU, CCU, and rehabilitation centers as a threat to this perceived self-concept as symbols of cure. This threat results in stress for the nurse., Copyrights are retained by the author.
subject
Nursing practice Job stress Hospitals Intensive care units Coronary care units Nursing services administration
The purpose of this study is to explore the concept of depression as it may relate to patients' behavior following coronary artery bypass surgery. Based upon research findings, nursing interventions may be able to moderate the incidence of depression after surgery. Depression can be caused by a change in life style, realization of mortality, and financial loss. Since the bypass surgery patient must significantly alter his life style if he is to maintain patency of the grafts and progress through rehabilitation, his chances of developing depression are high. Nurses are in the position to assist the patient to make successful changes and deter depression, hopelessness, helplessness, and anxiety. A nurse*s personal contact may help to clarify the patient's awareness of post-operative recovery. Providing information and assisting in the development of effective coping strategies may prevent the effects of depression. Such interventions are a part of the role of the cardiac nurse., Copyrights are retained by the author. Please contact Katherine Gustafson for further use of this material.
subject
Nursing Mental health services Heart-Diseases-Nursing
Documentation is an integral aspect of nursing. "Professional nursing documentation fosters respect and recognition for the professional nurse." It has an impact upon nursing and the health care delivery system in the areas of quality patient care, legalities, and financial reimbursement. Quality care cannot occur unless there is precise and current documentation in the patient record. This ensures that continuity of care can take place as the patient’s health status is accurately communicated from one health care professional to another., Copyrights are retained by the author. Please contact Barbara Arvanitopulos for further use of this material.
subject
Nursing Medical records Nursing records Medication errors Technology
The problems of inflationary costs of health care are not new to analysts of this phenomenon, and have been addressed in the literature for some time. As the problem is not new, neither is its development. Health care costs have been escalating for decades and the historical evolution can be traced to the post World War II era. At that time federal legislation encouraged dollars to be directed toward the expanding technological industry of health care and little thought was given to cost containment. This also proved to be true of the later Medicare/Medicaid legislation and large third party payers such as Blue Cross and Blue Shield. With the responsibility of out-of-pocket payment taken away from the consumer and assumed by third party payers, the individual gradually lost track of the actual cost of health care. The final bill for treatment has become of little consequence to consumers as well as institutions because someone else is picking up the tab., Copyrights are retained by the author. Please contact Kimberly Windsor for further use of this material.
There is a widespread movement toward professionalization in nursing characterized by efforts to attain autonomy and to convince the public of the special needs which may be met by nurses. Nursing has had difficulty in becoming an autonomous profession through credentialing and the use of standards but they have not historically sought autonomy. While being legally responsible for their nursing practice, nurses rarely bear the direct consequences for the lack of appropriate decision-making. However, new role concepts have emerged and training and educational practices are changing. Nurses tend to see themselves now as being more independent, more than just an adjunct of the physician, and more as the extension of the client. Most physicians are male and most nurses are female, and thus, the traditional acquiescence of women to men compounds the tendency of professional dominance to exercise control of nursing practice., Copyrights are retained by the author.
subject
Nursing Autonomy Moral and ethical aspects Hospitals
Legionnaire’s Disease (LD) is an acute pneumonia caused by the bacterium Legionella pneumophila. Undiagnosed LD can be particularly severe since Legionella infections generally do not respond to the antibiotics used to treat most pneumonias. Patients on immunosuppresive therapy are at an increased risk to develop potentially life-threatening infections. At our institution Legionnaire’s Disease was diagnosed in three oncology patients and was associated with a contaminated hot water system. It was found that the hand-held showers in patient rooms were heavily colonized with Legionella and environmental eradication procedures greatly reduced the colonization of Legionella within the hot water system. Clinical awareness of Legionella as a potential cause of nosocomial pneumonia is necessary to rapidly diagnose and treat future outbreaks of LD., Copyrights are retained by the author. Please contact James F. Annett for further use of this material.
The American Nurses Association (ANA) published their position on Education for Nursing in 1965. This paper defined professional nursing and technical nursing as the two levels of nursing. The minimal educational preparation for professional nursing should be the bachelors degree in nursing. An associate degree in nursing should be the minimal requirement for the practice of technical nursing. The position paper advocated phasing out diploma education for registered nurses. It acknowledged practical nursing as a growing occupational trend and proposed replacing programs for practical nursing with programs for technical nursing., Copyrights are retained by the author. Please contact Sheila Warner for further use of this material.
subject
Nursing Studying and teaching Practical nursing Nursing Law and legislation
