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AACN clinical issues in critical care nursing最新文献

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Visitation in the pediatric intensive care unit: controversy and compromise. 儿科重症监护病房的探视:争议与妥协。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3008
N E Page, N M Boeing
{"title":"Visitation in the pediatric intensive care unit: controversy and compromise.","authors":"N E Page,&nbsp;N M Boeing","doi":"10.4037/15597768-1994-3008","DOIUrl":"https://doi.org/10.4037/15597768-1994-3008","url":null,"abstract":"<p><p>Much controversy has arisen in the last few decades regarding parental and family visitation in the intensive care setting. The greatest needs of parents while their child is in an intensive care unit include: to be near their child, to receive honest information, and to believe their child is receiving the best care possible. The barriers that exist to the implementation of open visitation mostly are staff attitudes and misconceptions of parental needs. Open visitation has been found in some studies to make the health-care providers' job easier, decrease parental anxiety, and increase a child's cooperativeness with procedures. To provide family-centered care in the pediatric intensive care unit, the family must be involved in their child's care from the day of admission. As health-care providers, the goal is to empower the family to be able to advocate and care for their child throughout and beyond the life crisis of a pediatric intensive care unit admission.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"289-95"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4037/15597768-1994-3008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Nursing challenges in the care of very low birth weight infants (< 1,000 grams). 极低出生体重儿(< 1000克)的护理挑战。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3002
C Kenner, C Hetteberg
{"title":"Nursing challenges in the care of very low birth weight infants (< 1,000 grams).","authors":"C Kenner,&nbsp;C Hetteberg","doi":"10.4037/15597768-1994-3002","DOIUrl":"https://doi.org/10.4037/15597768-1994-3002","url":null,"abstract":"<p><p>It is not unusual for neonates to be born before the 24th week of gestation and weigh less than 1,000 g. These neonates are surviving to be transferred to a tertiary care center, and many are discharged eventually to home. When one considers that these infants are only \"half developed\" by the standard 40-week gestational period, it is understandable that the challenges for nurses caring for them are enormous. In this article, the authors review gestational development and the critical care needs of this special neonatal population.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"231-41"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4037/15597768-1994-3002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
HealthCare Ethics Forum '94: ethical challenges in the critically ill: use of restraints. 医疗伦理论坛'94:危重病人的伦理挑战:使用限制。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3014
J Reigle
{"title":"HealthCare Ethics Forum '94: ethical challenges in the critically ill: use of restraints.","authors":"J Reigle","doi":"10.4037/15597768-1994-3014","DOIUrl":"https://doi.org/10.4037/15597768-1994-3014","url":null,"abstract":"","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"329-32"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
HealthCare Ethics Forum '94: perspectives on withholding and withdrawal of life-support. 医疗伦理论坛'94:关于保留和撤回生命支持的观点。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3018
M L Campbell, J W Hoyt, L J Nelson
{"title":"HealthCare Ethics Forum '94: perspectives on withholding and withdrawal of life-support.","authors":"M L Campbell,&nbsp;J W Hoyt,&nbsp;L J Nelson","doi":"10.4037/15597768-1994-3018","DOIUrl":"https://doi.org/10.4037/15597768-1994-3018","url":null,"abstract":"","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"353-9"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
HealthCare Ethics Forum '94: organ transplantation and donation. 医疗伦理论坛[1994]:器官移植与捐献。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3013
L Jacobbi, H Franz, M B Coolican
{"title":"HealthCare Ethics Forum '94: organ transplantation and donation.","authors":"L Jacobbi,&nbsp;H Franz,&nbsp;M B Coolican","doi":"10.4037/15597768-1994-3013","DOIUrl":"https://doi.org/10.4037/15597768-1994-3013","url":null,"abstract":"","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"324-8"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Current controversies in pediatric transplantation. 当前儿科移植的争议。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3006
L Cipriani, S A Martin
{"title":"Current controversies in pediatric transplantation.","authors":"L Cipriani,&nbsp;S A Martin","doi":"10.4037/15597768-1994-3006","DOIUrl":"https://doi.org/10.4037/15597768-1994-3006","url":null,"abstract":"<p><p>Transplantation in children has become a therapeutic option for several end stage organ diseases. The kidney, liver, and heart are the most common organs' transplanted; however, an increasing number of children are undergoing successful intestine, lung, and multiple organ transplant combinations. Through case study reports, emerging transplant options for the child experiencing end stage liver, intestine, heart, and lung failure are described. Critical care nurses play a crucial role in the postoperative recovery of these patients. An understanding of the transplant process and consequences of immunosuppression will help the critical care nurse identify signs of rejection, infection, and posttransplant lymphoproliferative disease.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"263-77"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4037/15597768-1994-3006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Implementation of the acute care nurse practitioner role. 执行急症护理护士的执业角色。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3022
L A Kelso, L M Massaro
{"title":"Implementation of the acute care nurse practitioner role.","authors":"L A Kelso,&nbsp;L M Massaro","doi":"10.4037/15597768-1994-3022","DOIUrl":"https://doi.org/10.4037/15597768-1994-3022","url":null,"abstract":"<p><p>In this article, the experiences of two new acute care nurse practitioners working at the University of Pittsburgh Medical Center are described. Included are the experiences they encountered in initiating the role and some of the responsibilities they assumed.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"404-7"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
HealthCare Ethics Forum '94: caregiver distress: if it is so ethical, why does it feel so bad? 医疗伦理论坛'94:照顾者的痛苦:如果它是如此道德，为什么感觉如此糟糕?
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3017
K Doka, C H Rushton, T A Thorstenson
{"title":"HealthCare Ethics Forum '94: caregiver distress: if it is so ethical, why does it feel so bad?","authors":"K Doka,&nbsp;C H Rushton,&nbsp;T A Thorstenson","doi":"10.4037/15597768-1994-3017","DOIUrl":"https://doi.org/10.4037/15597768-1994-3017","url":null,"abstract":"","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"346-52"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
HealthCare Ethics Forum '94: pain management and sedation in the terminally ill. 医疗伦理论坛'94:临终病人的疼痛管理和镇静。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3019
N Coyle, R D Truog
{"title":"HealthCare Ethics Forum '94: pain management and sedation in the terminally ill.","authors":"N Coyle,&nbsp;R D Truog","doi":"10.4037/15597768-1994-3019","DOIUrl":"https://doi.org/10.4037/15597768-1994-3019","url":null,"abstract":"","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"360-5"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The midlevel practitioner role: one medical center's experience. 中级从业人员角色:一个医疗中心的经验。
AACN clinical issues in critical care nursing Pub Date : 1994-08-01 DOI: 10.4037/15597768-1994-3021
J S Burkholder, L A Dudjak
{"title":"The midlevel practitioner role: one medical center's experience.","authors":"J S Burkholder,&nbsp;L A Dudjak","doi":"10.4037/15597768-1994-3021","DOIUrl":"https://doi.org/10.4037/15597768-1994-3021","url":null,"abstract":"<p><p>Numerous trends in the current health-care environment have converged to produce an increased emphasis on the role of the midlevel practitioner. Financial constraints head the list, including a mandate for the best care at the lowest rates and a resulting shift from costly specialists to primary care providers. The desire to conserve human and technologic resources requires a practitioner with advanced knowledge and skills to serve as gatekeeper in terms of facilitating access to health care, establishing efficient referral patterns, and developing a holistic care plan. The midlevel practitioner also is prepared to facilitate the transition from the intensive care unit to the less costly general care areas. In addition, the inevitable reduction in funds for graduate medical education and the dwindling number of first-year medical students choosing internal medicine as a specialty threaten the ability of academic medical centers in particular to provide adequate housestaff coverage to full-time and voluntary faculty members. Physicians eager to provide efficient, seamless care to patients in the acute care setting, while maintaining an office practice and caseloads at several hospitals, find the support provided by a midlevel practitioner an enhancement to their clinical practice and a solution to the continuous management of acute and chronically ill patients. In this article, the authors describe one medical center's experience in implementing the midlevel practitioner role.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 3","pages":"369-403"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18780260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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