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AACN clinical issues in critical care nursing最新文献

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Implementing a research-based protocol: an interactive approach. 实施基于研究的协议:一种交互式方法。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2006
S Bell, J Taggart, J Karl, M Lind, P Peterman, K Stone
{"title":"Implementing a research-based protocol: an interactive approach.","authors":"S Bell,&nbsp;J Taggart,&nbsp;J Karl,&nbsp;M Lind,&nbsp;P Peterman,&nbsp;K Stone","doi":"10.4037/15597768-1994-2006","DOIUrl":"https://doi.org/10.4037/15597768-1994-2006","url":null,"abstract":"<p><p>Endotracheal suctioning (ETS) is a common procedure done in the critical care environment. There are many different practices related to ETS. With the proliferation of research studies about ETS, a change in practice is needed to incorporate these research findings. The authors present a creative teaching strategy that was used to implement a research-based ETS protocol.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"147-51"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768126","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
A review of disease-specific formulas. 疾病专用配方综述。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.1097/00044067-199405040-00002
G. Zaloga, M. H. Ackerman
{"title":"A review of disease-specific formulas.","authors":"G. Zaloga, M. H. Ackerman","doi":"10.1097/00044067-199405040-00002","DOIUrl":"https://doi.org/10.1097/00044067-199405040-00002","url":null,"abstract":"Critical illness frequently leads to organ dysfunction. Nutritional support of individual organ function is an evolving area of nutritional support. Within the past several years, there was an increase in the number of nutritional products reported to improve organ function. In this article, the authors review disease/organ-specific nutritional support, including the theory behind therapy and the empiric data supporting or refuting these theories. It is hoped that this article will aid practitioners in their nutritional management of patients with organ dysfunction.","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 4 1","pages":"421-35; quiz 536-8"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/00044067-199405040-00002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62044002","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
Blood conservation in the critically ill. 危重病人的血液保护。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2009
Z F Dech
{"title":"Blood conservation in the critically ill.","authors":"Z F Dech","doi":"10.4037/15597768-1994-2009","DOIUrl":"https://doi.org/10.4037/15597768-1994-2009","url":null,"abstract":"<p><p>The insertion of arterial lines has become a routine procedure for the critically ill. Valuable patient data can be obtained from the arterial line, nursing and laboratory personnel time can be saved, and patient discomfort can be minimized. However, increased blood loss is incurred and may result in nosocomial anemia. This blood loss can be sharply reduced by heightened staff awareness, use of tubing that eliminates the need for discard, and drawing only the volume necessary for laboratory testing. Bedside microchemistry and protocols for obtaining a laboratory test may further decrease blood loss and eliminate the need for blood transfusions to replace iatrogenic blood loss.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"169-77"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768129","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: 6
The nurse's role in continuous dysrhythmia monitoring. 护士在心律失常持续监测中的作用。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2010
J D Hebra
{"title":"The nurse's role in continuous dysrhythmia monitoring.","authors":"J D Hebra","doi":"10.4037/15597768-1994-2010","DOIUrl":"https://doi.org/10.4037/15597768-1994-2010","url":null,"abstract":"<p><p>One of the areas of clinical management where nurses have the most diagnostic influence is cardiac rhythm monitoring and dysrhythmia detection. The critical care nurse must recognize that continuous monitoring is a nursing responsibility, and competence in this skill must be assured. It is essential that nurses understand the significance of accurate electrode placement in obtaining a specific monitoring lead. In addition, the nurse must use current research in determining which monitoring lead is most appropriate for the patient requiring cardiac monitoring in the critical care environment. The author reviews the current research on continuous bedside monitoring and lead selection, examines why nurses continue to make less than optimal lead selection decisions, and offers recommendations to improve the consistency with which patients are accurately monitored.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"178-85"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768130","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
Overcoming the obstacles to research-based clinical practice. 克服以研究为基础的临床实践障碍。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2003
B J Lekander, M F Tracy, R Lindquist
{"title":"Overcoming the obstacles to research-based clinical practice.","authors":"B J Lekander,&nbsp;M F Tracy,&nbsp;R Lindquist","doi":"10.4037/15597768-1994-2003","DOIUrl":"https://doi.org/10.4037/15597768-1994-2003","url":null,"abstract":"<p><p>The utilization of research findings in the practice of critical care nursing is essential to obtain optimal patient outcomes. However, the speed and extent to which new research-based findings are applied to clinical practice falls short of expectations. The authors identify obstacles to the timely utilization of research. Strategies to overcome the obstacles to research-based clinical practice are presented.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"115-23"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768123","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: 15
Research utilization in critical care: an exemplar. 研究在重症监护中的应用:一个范例。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2004
M G Titler, L Moss, J Greiner, M Alpen, G Jones, K Olson, M Hauer, C Phillips, K Megivern
{"title":"Research utilization in critical care: an exemplar.","authors":"M G Titler,&nbsp;L Moss,&nbsp;J Greiner,&nbsp;M Alpen,&nbsp;G Jones,&nbsp;K Olson,&nbsp;M Hauer,&nbsp;C Phillips,&nbsp;K Megivern","doi":"10.4037/15597768-1994-2004","DOIUrl":"https://doi.org/10.4037/15597768-1994-2004","url":null,"abstract":"<p><p>The authors describe the process and outcome of implementing a research-based pain management protocol in four adult critical care units at a large, Midwestern tertiary care center. The project was initiated and directed by members of the divisional research committee. Strategies used to change practice included determining if pain management was a problem via quality assessment monitors, surveying nurses regarding their knowledge and attitude toward pain management, educating staff members about the research base for the practice change, using change champions in each unit, and developing a core group of nurses in each unit to facilitate the change. Outcomes of this research utilization project include a 41% decline in the number of patients in pain, a 44% decline in pain intensity, and improvement in nurses knowledge about pain.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"124-32"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768125","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: 13
Nasogastric and nasointestinal feeding tube placement: an integrative review of research. 鼻胃和鼻肠饲管放置:综合研究综述。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2012
B A Rakel, M Titler, C Goode, J Barry-Walker, G Budreau, K C Buckwalter
{"title":"Nasogastric and nasointestinal feeding tube placement: an integrative review of research.","authors":"B A Rakel,&nbsp;M Titler,&nbsp;C Goode,&nbsp;J Barry-Walker,&nbsp;G Budreau,&nbsp;K C Buckwalter","doi":"10.4037/15597768-1994-2012","DOIUrl":"https://doi.org/10.4037/15597768-1994-2012","url":null,"abstract":"<p><p>The authors present a review of the research on various methods for determining placement of nasogastric and nasointestinal feeding tubes. They also discuss research on associated risk factors, complications specific to critical care patient populations, and techniques for postpyloric placement. They present research consensus, recommendations for practice, and implementation strategies.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"194-206; quiz 218-9"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4037/15597768-1994-2012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768132","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: 19
How safe are intramuscular injections? 肌肉注射安全吗?
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2013
P C Beecroft, S R Kongelbeck
{"title":"How safe are intramuscular injections?","authors":"P C Beecroft,&nbsp;S R Kongelbeck","doi":"10.4037/15597768-1994-2013","DOIUrl":"https://doi.org/10.4037/15597768-1994-2013","url":null,"abstract":"<p><p>The authors present an overview of adverse effects associated with intramuscular injections and factors contributing to these effects. Guidelines for both general and critical care patients are proposed after evaluating available research and case history literature. Recommendations include re-evaluating the appropriateness of the intramuscular route for administration of drugs to critical care patients. Avoidance of this route for most critically ill patients is suggested.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"207-15"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4037/15597768-1994-2013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768133","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
Using clinical innovations for research-based practice. 将临床创新应用于研究型实践。
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2002
J S Leske, K Whiteman, T A Freichels, J M Pearcy
{"title":"Using clinical innovations for research-based practice.","authors":"J S Leske,&nbsp;K Whiteman,&nbsp;T A Freichels,&nbsp;J M Pearcy","doi":"10.4037/15597768-1994-2002","DOIUrl":"https://doi.org/10.4037/15597768-1994-2002","url":null,"abstract":"<p><p>Making choices about patient-care interventions pervades critical care nursing practice. Research utilization activities provide the reasoning by which assessment parameters are established, preventative actions are identified, and interventions are evaluated in the clinical setting for positive effects on patient outcomes. For research results to be directly applicable, they must be transformed into clinical innovations specific to a patient population, clinical situation, or institutional setting. A brief summary of using research findings to design clinical innovations is provided. Examples of selected clinical innovations are included to illustrate the steps of the research utilization process. Clinical innovations are intended to improve or validate patient outcomes and are considered the key to quality patient care.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"103-14"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768122","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
Pain management in the critically ill: what do we know and how can we improve? 危重病人的疼痛管理:我们知道什么?我们如何改进?
AACN clinical issues in critical care nursing Pub Date : 1994-05-01 DOI: 10.4037/15597768-1994-2008
M A Alpen, M G Titler
{"title":"Pain management in the critically ill: what do we know and how can we improve?","authors":"M A Alpen,&nbsp;M G Titler","doi":"10.4037/15597768-1994-2008","DOIUrl":"https://doi.org/10.4037/15597768-1994-2008","url":null,"abstract":"<p><p>Pain management in the critically ill is a challenge and a problem of great concern for critical care nurses. The authors review research on pain in the areas of pain assessment, nurses' knowledge and attitudes, pharmacologic interventions, and nonpharmacologic interventions for the management of pain. Although the research base is not completely developed in the critically ill population, implications for practice are provided, based upon the findings in populations akin to the critically ill. Strategies are outlined for achieving improved pain control in critical care units through education, adoption of standards on pain management, and quality improvement activities.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 2","pages":"159-68"},"PeriodicalIF":0.0,"publicationDate":"1994-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768128","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
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