Research & reviews. Journal of nursing and health sciences最新文献

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Differences in Predictions for Survival and Expectations for Goals of Care between Physicians and Family Surrogate Decision Makers of Chronically Critically Ill Adults. 慢性危重症成人的医生和家庭替代决策者对生存和护理目标预期的差异。

Research & reviews. Journal of nursing and health sciences Pub Date : 2017-12-01 Epub Date: 2017-11-24

Sara L Douglas, Barbara J Daly, Amy R Lipson

{"title":"Differences in Predictions for Survival and Expectations for Goals of Care between Physicians and Family Surrogate Decision Makers of Chronically Critically Ill Adults.","authors":"Sara L Douglas, Barbara J Daly, Amy R Lipson","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to determine the accuracy and concordance between physicians (MDs) and family surrogate decision makers (FSDMs) in predicting 3 month post-hospital patient mortality and concordance in identifying patient goals of care. A prospective cohort study was conducted in 3 intensive care units (ICUs). Two-hundred and sixty-four FSDMs and 54 attending MDs of patients who had resided in the ICU for >3 days were enrolled in the study. Expectation for mortality was measured dichotomously and goals of care were measured using a continuous visual analog scale. A value of 50 represented equal weight placed on goals of survival and QOL. Both MDs and FSDMs had mortality predictions that were lower than actual mortality. For MDs and FSDMs, their mortality predictions were most accurate at study enrollment. Discordance between MD and FSDM goals of care ranged from 36.4% at enrollment to 55.4% 15 days later (p=0.003). Our findings of optimistic prognosis for survival are consistent with the work of others. Our high rate of discordance regarding goals of care provided support for the need to establish standard processes to assure that values of patients and families are solicited and incorporated into treatment discussions for long-stay ICU patients.","PeriodicalId":91606,"journal":{"name":"Research & reviews. Journal of nursing and health sciences","volume":"3 3","pages":"74-84"},"PeriodicalIF":0.0,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6003707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36231063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Accuracy of Nurses' Predictions for Clinical Outcomes in the Chronically Critically Ill. 护士对慢性危重病人临床预后预测的准确性。

Research & reviews. Journal of nursing and health sciences Pub Date : 2017-09-01 Epub Date: 2017-07-25

Amy R Lipson, Sarah J Miano, Barbara J Daly, Sara L Douglas

引用次数: 0

Impact of Education on School-aged Children's Knowledge of and Participation in "The Choking Game". 教育对学龄儿童“窒息游戏”知识和参与的影响

Research & reviews. Journal of nursing and health sciences Pub Date : 2016-06-01 Epub Date: 2016-06-13

Kendall Butler, Bonnie Raingruber, Eric Butler, Machelle Wilson

{"title":"Impact of Education on School-aged Children's Knowledge of and Participation in \"The Choking Game\".","authors":"Kendall Butler, Bonnie Raingruber, Eric Butler, Machelle Wilson","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To better understand school-aged children's awareness of and attitudes about the Choking Game (TCG). To determine if education can increase awareness of the risk of injury when playing TCG and to determine if education can decrease interest in TCG participation.Design: Anonymous pre- and post-education surveys.Setting: Two middle/high schools; one in Utah and one in California.Subjects: 291 participants (163 in Utah, 128 in California) aged 9-18, 68% under age 15, 32% 15 and older; 65% white, 35% non-white; 52% female, 48% male.Results: 76% of participants knew about TCG, of those 62% heard about it at school. 32% knew someone who had played, and twelve (4%) had played, usually with others. Most frequently cited as reasons for participation were curiosity, peer pressure, and competition. School was the most common location for playing. In California education significantly increased risk awareness, and significant positive attitude changes were observed regarding interest in playing TCG. Utah participants also exhibited attitude changes in the desired direction (less interest in playing TCG, would warn friends, and realized it was not safe to stop breathing), although results were not statistically significant, possibly due to previous education and four recent and highly publicized TCG deaths in the community.Conclusion: Results indicate that interactive, standardized, and skills-based education can increase student awareness of TCG risks and decrease interest in participation. Students reported that the schools were often where they first heard about TCG and where TCG was commonly played. Educators and associated health care professionals should therefore be encouraged to provide preventative education as part of school curricula.","PeriodicalId":91606,"journal":{"name":"Research & reviews. Journal of nursing and health sciences","volume":"2 2","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975564/pdf/nihms803822.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34740960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0