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Overcoming language barriers for non-English speaking patients. 为非英语患者克服语言障碍。
ANNA journal Pub Date : 1999-10-01
M M Duffy, A Alexander
{"title":"Overcoming language barriers for non-English speaking patients.","authors":"M M Duffy,&nbsp;A Alexander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although some of the resources or services listed may seem expensive, it is cheaper to use these than to face a malpractice suit for failure to provide patients with limited English access to services equal to those provided to English speakers. The University of California at San Francisco (UCSF), one of the top three ranking research hospitals in the U.S., had a suit filed against it by the American Civil Liberties Union (ACLU) claiming failure to provide adequate translation services for the patient population. The university is now a participant in a statewide effort to provide access to well-trained translator services to the patient population. This effort and the development of an in-house interpreter services department has contributed to a competitive edge for UCSF in the area of patient services and satisfaction as well as attracting more Medicaid patients, which increases their revenues.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"507-10, 528"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624765","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: 0
Vascular access thrombosis: etiology and prevention. 血管通路血栓形成:病因和预防。
ANNA journal Pub Date : 1999-10-01
M Brattich
{"title":"Vascular access thrombosis: etiology and prevention.","authors":"M Brattich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vascular access thrombosis has been the Achilles heel of patients with end-stage renal disease since the inception of maintenance hemodialysis. Although many factors have been implicated in the etiology of access thrombosis, data indicate that the primary risk factors include an increased use of synthetic polytetrafluoroethylene grafts, lack of surgical expertise in access construction, advanced age, systolic hypotension, and high levels of serum lipoprotein (a). The occurrence and severity of access problems can be modified by ongoing nurse monitoring and prompt intervention to proactively correct evolving problems.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"537-40"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626055","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: 0
Preparing advanced nurse practitioners: challenges for nephrology. 准备高级执业护士:肾脏病学的挑战。
ANNA journal Pub Date : 1999-10-01
A Zarifian
{"title":"Preparing advanced nurse practitioners: challenges for nephrology.","authors":"A Zarifian","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"464"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624758","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: 0
Intravenous iron products. 静脉注射铁制品。
ANNA journal Pub Date : 1999-10-01
C A Johnson, N A Mason, G R Bailie
{"title":"Intravenous iron products.","authors":"C A Johnson,&nbsp;N A Mason,&nbsp;G R Bailie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intravenous iron has been used extensively and successfully as part of the treatment of anemia in dialysis patients. Iron dextran can be used safely, however, there is a slight risk of severe, anaphylactoid reactions. Iron gluconate and iron sucrose are less likely to cause hypersensitivity reactions. These products should be safe and effective alternatives to iron dextran.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"522-4"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626053","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: 0
Perceptions of kidney transplant by persons with end stage renal disease. 终末期肾病患者对肾移植的看法。
ANNA journal Pub Date : 1999-10-01
L R Murray, N E Conrad, E W Bayley
{"title":"Perceptions of kidney transplant by persons with end stage renal disease.","authors":"L R Murray,&nbsp;N E Conrad,&nbsp;E W Bayley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This prospective, descriptive research study sought to identify factors that influence the pursuit of kidney transplant by persons with end stage renal disease (ESRD). Four research questions explored various areas about kidney transplants, including overall knowledge, reasons for wanting/not wanting a kidney transplant, sources of information, views of how one's life could change, and interest in receiving a transplant. A prospective, descriptive study was designed that used both quantitative and qualitative methods of data collection. A random sample of 115 persons from a total population of 450 individuals, currently undergoing treatment in 1 of 3 dialysis facilities in a mid-Atlantic state. was obtained. Two nurse interviewers used four instruments during a 1-hour, structured interview completed at the facility. The results show that: (a) two-thirds of the sample population underestimated the current success rate of transplantation; and (b) over half never discussed transplants with family members. Implications for health care providers are discussed in this article.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"479-83, 500; discussion 484"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624761","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: 0
Hormone replacement therapy (HRT) in ESRD. 激素替代疗法(HRT)在终末期肾病中的应用。
ANNA journal Pub Date : 1999-10-01
D Gipson
{"title":"Hormone replacement therapy (HRT) in ESRD.","authors":"D Gipson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"525, 532"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21626054","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: 0
The concept of leadership. 领导力的概念。
ANNA journal Pub Date : 1999-10-01
P Weiskittel
{"title":"The concept of leadership.","authors":"P Weiskittel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"467, 536"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624759","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: 0
A quantitative study comparing adjustment and acceptance of illness in adults on renal replacement therapy. 一项比较成人对肾脏替代治疗的适应和接受程度的定量研究。
ANNA journal Pub Date : 1999-10-01
A M Keogh, J Feehally
{"title":"A quantitative study comparing adjustment and acceptance of illness in adults on renal replacement therapy.","authors":"A M Keogh,&nbsp;J Feehally","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adjustment and acceptance of illness are major factors influencing quality of life in different modes of renal replacement therapy. A quantitative tool was used to compare adjustment and acceptance of illness in adult patients on maintenance dialysis to those with a functioning renal transplant. A questionnaire incorporating Felton's Acceptance of Illness Scale was sent to 273 patients receiving replacement therapy for end stage renal disease (ESRD) in Leicester, UK. The instrument examined the effects of a variety of clinical and social parameters on the Acceptance of Illness Scale Score (AISS). Patients with a functioning renal transplant had a significantly higher AISS than patients on hemodialysis (HD) or peritoneal dialysis (PD) (P < 0.0001). Patients in employment or full-time education had a higher AISS than other patients (P < 0.01). White/Caucasian ethnic origin had a higher AISS than Asian (P = 0.011). There were weak inverse correlations between age and AISS, and between AISS and perception of 'choice' in treatment modality. Health care professionals need to be aware of all variables that affect patient acceptance of illness in order to administer optimum clinical care.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"471-7, 505; discussion 478, 500"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624760","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: 0
The psychosocial meanings of living related kidney organ donation: recipient and donor perspectives--literature review. 活体亲属肾器官捐献的社会心理意义:受者和供者的观点——文献综述。
ANNA journal Pub Date : 1999-10-01
N E Conrad, L R Murray
{"title":"The psychosocial meanings of living related kidney organ donation: recipient and donor perspectives--literature review.","authors":"N E Conrad,&nbsp;L R Murray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a shortage of information about the psychosocial influences that impact family decision making for a living related donor kidney transplant. This article reviews research findings related to the psychosocial meanings of donation. potential recipient's decisions about the kidney donor, and families' roles and expectations. The social meaning of organ donation as a \"gift\" and family dynamics involved in decision making are addressed. The findings show that families make decisions about kidney donation in different ways. Emotional responses of potential kidney recipients include ambivalence, passivity, and denial of the severity of their illness. Emotional responses of potential family donors range from unrestrained willingness to ambivalence and concerns of coercion. Improved accuracy of health assessment and awareness of the importance of psychosocial perspectives is needed. Assessment questions addressing the fears and concerns of potential recipient and donor are suggested.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"485-90"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624762","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: 0
Guarded alliance relationships between hemodialysis patients and their health care providers. 血液透析患者及其医疗保健提供者之间的保护性联盟关系。
ANNA journal Pub Date : 1999-10-01
R S Sloan
{"title":"Guarded alliance relationships between hemodialysis patients and their health care providers.","authors":"R S Sloan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To further understand the complex patient-nurse relationships surrounding end stage renal disease. Thorne and Robinson's (1987: 1988a, 1988b) framework of guarded alliance was found to be most useful. In this study, we interviewed five patients regarding their perceptions of the patient-nurse relationships they had experienced while receiving hemodialysis treatment. Our study finds that this model is very useful in understanding these ever-changing relationships. Content analysis of the transcribed interviews indicated that patients experienced all of Thorne and Robinson's relationship stages including naive trust, disenchantment, and guarded alliance. Interestingly, we also found that patients may experience the same stages of \"relationship\" with their dialysis machine as well.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 5","pages":"503-5"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21624764","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: 0
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