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Soins; La Revue de Reference Infirmiere 2016
Topics: Aged, 80 and over; Bradycardia; Emergency Medical Services; Home Care Services, Hospital-Based; Humans; Male; Nursing Assessment; Nursing, Private Duty; Patient Admission; Patient Care Team; Physician-Nurse Relations; Transportation of Patients
PubMed: 27393986
DOI: 10.1016/j.soin.2016.05.009 -
Research in Nursing & Health Aug 2008Many researchers have sought to address the relationship between nursing care and patient outcomes, with inconsistent and contradictory findings. We conducted a concept... (Review)
Review
Many researchers have sought to address the relationship between nursing care and patient outcomes, with inconsistent and contradictory findings. We conducted a concept analysis and concept derivation, basing our work on theoretical and empirical literature, to derive nurse dose as a concept that pulls into a coherent whole disparate variables used in staffing studies. We defined nurse dose as the level of nursing reflected in the purity, amount, frequency, and duration of nursing care needed to produce favorable outcomes. All four parameters of nurse dose used together can facilitate our understanding of how nursing contributes to patient outcomes. Ongoing investigation will help to identify the parameters of nurse dose that have the greatest effect on outcomes.
Topics: Acute Disease; Humans; Nurse's Role; Nursing Care; Nursing Evaluation Research; Nursing Staff; Nursing Theory; Outcome Assessment, Health Care; Personnel Staffing and Scheduling; Time Factors; Workload
PubMed: 18231974
DOI: 10.1002/nur.20265 -
Revista Brasileira de Enfermagem 2020
Topics: COVID-19; Coronavirus Infections; Humans; Nursing; Pandemics; Pneumonia, Viral
PubMed: 32490895
DOI: 10.1590/0034-7167-202073suppl201 -
Medicina (Kaunas, Lithuania) 2011Various health care measures have been identified over the years as indicators of health care quality. However, studies evaluating the quality of nursing care among... (Review)
Review
Various health care measures have been identified over the years as indicators of health care quality. However, studies evaluating the quality of nursing care among different patient groups are scarce. Patients undergoing abdominal surgery may be a group that has different views, needs, expectations, and evaluation of the quality of nursing care. Literature search was conducted using the following key words in various combinations in the Medline, PsycInfo, CINAHL, and Cochrane databases: quality of nursing, surgical or perioperative, abdominal or abdomen. The studies that focused on the evaluation of surgical nursing care with a study sample of patients undergoing abdominal surgery and nurses taking care of these patients were included in this scoping review. In total, 17 research articles were analyzed. The analysis revealed that the quality of nursing care was usually rated as high according to the perceptions of patients and/or nurses. The following factors associated with the quality of nursing care were identified: nurse staffing, organizational characteristics, patients' characteristics, nurses' characteristics, nursing care needs, and nursing documentation. Further research should be focused on the measurement and evaluation of the quality of abdominal surgical nursing care from nurses', patients' and their relatives' perceptions by using nonexperimental and experimental study designs for gaining the knowledge how to improve the quality in practice.
Topics: Abdominal Cavity; Humans; Perioperative Care; Perioperative Nursing; Quality of Health Care
PubMed: 21956132
DOI: No ID Found -
Alternative Therapies in Health and... Nov 2023To study the effectiveness and value of evidence-based nursing and predictive nursing in emergency treatment of upper gastrointestinal bleeding.
OBJECTIVE
To study the effectiveness and value of evidence-based nursing and predictive nursing in emergency treatment of upper gastrointestinal bleeding.
METHODS
A total of 100 patients with upper gastrointestinal bleeding in our hospital were selected. The period was from January 2020 to June 2022. They were grouped according to the double color ball method, 50 cases in the control group were given routine nursing, and 50 cases in the observation group were given evidence-based nursing combined with predictive nursing. The key points of evidence-based nursing are to identify the evidence-based question, search for relevant literature, identify scientifically effective nursing measures, and develop nursing care plans that are tailored to the patient's specific situation based on evidence and clinical experience. Predictive nursing requires nurses to have a high level of awareness and risk prevention consciousness to provide care for early signs of bleeding and prevent the occurrence of complications. The psychological state scores, clinical-related indicators, clinical efficacy, incidence of complications, nursing satisfaction, and quality of life scores of the two groups were compared.
RESULTS
After the intervention, the SAS score (42.25 ± 1.67) and SDS score (43.59 ± 1.86) of the observation group were lower than those of the control group, the bleeding times (2.41 ± 0.45) of the observation group were less than those of the control group, the hemostasis time (30.12 ± 5.38d) and hospitalization time (5.01 ± 1.11d) of the observation group were shorter than those of the control group, and the difference was statistically significant (all P < .05). The total effective rate of hemostasis (96.00%), patient satisfaction (98.00%), and scores of physical health (88.98 ± 5.59), psychological function (91.08 ± 5.11), material life state (90.54 ± 6.46) and social function (89.59 ± 5.78) in GQOLI-74 scores in the observation group were higher than those in the control group. The incidence of complications (6.00%) in the observation group was lower than that in the control group, and the difference was statistically significant (all P < .05).
CONCLUSION
Upper gastrointestinal bleeding is a common emergency in gastroenterology, characterized by rapid onset, severe symptoms, and quick changes. Therefore, in order to expedite the recovery of patients with acute upper gastrointestinal bleeding and ensure their safety, it is necessary to provide effective clinical emergency nursing care. Evidence-based nursing can help nurses take appropriate nursing measures based on the best and latest evidence, to meet the reasonable individualized needs of patients. Predictive nursing is a nursing model that predicts potential nursing risks in advance and takes corresponding preventive measures. It can timely and systematically address risks in nursing and promote improvements in the effectiveness of disease treatment. The combined application of evidence-based nursing and predictive nursing can improve the hemostatic efficiency of patients with upper gastrointestinal bleeding, improve the psychological state and quality of life, reduce the incidence of complications, and obtain higher satisfaction. The combined application of these two nursing models has positive implications for improving nursing efficiency, enhancing patient cooperation during emergency care, improving hemostasis effectiveness, enhancing quality of life, and fostering a harmonious nurse-patient relationship.
Topics: Humans; Evidence-Based Nursing; Quality of Life; Gastrointestinal Hemorrhage; Treatment Outcome; Emergency Treatment
PubMed: 37678859
DOI: No ID Found -
Seminars in Oncology Nursing Dec 2020The objective of this paper is to describe the use of oncology digital symptom monitoring and patient self-management coaching tools, how nurses and nurse practitioners... (Review)
Review
OBJECTIVE
The objective of this paper is to describe the use of oncology digital symptom monitoring and patient self-management coaching tools, how nurses and nurse practitioners (NPs) can optimize their use as an adjunct in improving oncology care and discuss issues and strategies needed for adoption within a variety of clinical settings.
DATA SOURCES
A review of the research literature regarding digital health in oncology symptom management in PubMed provided the foundation for this paper.
CONCLUSION
Digital symptom monitoring technology provides a variety of opportunities for oncology nurses and NPs to efficiently extend and improve symptom management in multiple settings including cancer patients at home between clinic visits, at clinic visits, and during inpatient stays. Digital monitoring and patient engagement make possible frequent symptom assessments, just-in-time personalized self-management reinforcement, and judiciously alert nurses and NPs about key times for follow-up with patients supported with evidenced-based guidelines. Oncology nurses at all levels have the opportunity to be leaders in the adoption and expansion of digital tools to enhance their practice.
IMPLICATIONS FOR NURSING PRACTICE
Oncology nurses and NPs can lead practice changes that improve patient outcomes through understanding and shaping the use of digital tools.
Topics: Humans; Medical Oncology; Neoplasms; Nurse-Patient Relations; Oncology Nursing; Self Care; Symptom Assessment; Telemedicine
PubMed: 33218884
DOI: 10.1016/j.soncn.2020.151087 -
Journal of Healthcare Engineering 2022Orthopedic surgery and care during the perioperative period are the key to the treatment of orthopedic diseases, which can quickly and effectively treat orthopedic...
Orthopedic surgery and care during the perioperative period are the key to the treatment of orthopedic diseases, which can quickly and effectively treat orthopedic diseases and can quickly recover during the perioperative period. Therefore, this paper focuses on the observation of the effect of intelligent machine-assisted surgery and perioperative care, combined with smart wearable devices and C-arm camera calibration; the details of the bone surgery are assisted by the machine, and then the recognition ability is accelerated by writing into the digital bone bank. Based on machine vision, CNN training and learning are designed to design a machine-assisted perioperative nursing method. This paper also designed a bone surgery test experiment and perioperative adverse event data analysis, combined with the data obtained from the experiment, designed a comparison experiment with traditional surgery and perioperative nursing. The experimental results show that the success rate of machine-assisted surgery is increased by nearly 2%-15% compared with traditional surgery; and the rehabilitation degree of machine-assisted perioperative nursing is 15.83% higher than that of traditional perioperative nursing.
Topics: Humans; Learning; Orthopedic Procedures; Perioperative Nursing
PubMed: 35356612
DOI: 10.1155/2022/6264441 -
Annals of Palliative Medicine Dec 2022
Topics: Humans; Palliative Care; Spirituality; Hospice and Palliative Care Nursing; Spiritual Therapies
PubMed: 36366903
DOI: 10.21037/apm-22-1199 -
Computational and Mathematical Methods... 2022This study was aimed at exploring the new management mode of medical information processing and emergency first aid nursing management under the new artificial...
This study was aimed at exploring the new management mode of medical information processing and emergency first aid nursing management under the new artificial intelligence technology. This study will use the artificial intelligence algorithm to optimize medical information processing and emergency first aid nursing management process, in order to improve the efficiency of emergency department and first aid efficiency. The successful rescue rates of hemorrhagic shock, coma, dyspnea, and more than three organs injury were 96.7%, 92.5%, 93.7%, and 87.2%, respectively, after the emergency first aid nursing mode was used in the hospital emergency center. The success rates of first aid within three years were compared, which were 91.8%, 93.4%, and 94.2%, respectively, showing an increasing trend year by year. 255 emergency patients in five batches in June and five batches in July were selected as the research objects by convenience sampling method. Among them, 116 cases in June were taken as the experimental group, and 139 cases in July were taken as the control group, which was used to verify the efficiency of the design model in this study. The results showed that the triage time of the two groups was 8.16 ± 2.07 min and 19.21 ± 6.36 min, respectively, and the difference was statistically significant ( < 0.01). The triage coincidence rates were 96.35% and 90.04%, respectively, and the difference was statistically significant ( < 0.05). The research proved that the design of intelligent medical information processing and emergency first aid nursing management research model can effectively improve the triage efficiency of the wounded, assist the efficiency of emergency nursing of medical staff, and improve the survival rate of emergency patients, which is worthy of clinical promotion.
Topics: Adolescent; Adult; Aged; Algorithms; Artificial Intelligence; Child; Child, Preschool; China; Computational Biology; Emergency Nursing; Emergency Service, Hospital; Female; First Aid; Humans; Male; Medical Informatics; Middle Aged; Young Adult
PubMed: 35154360
DOI: 10.1155/2022/8677118 -
AORN Journal Feb 2021
Topics: COVID-19; Evidence-Based Nursing; Humans; Perioperative Nursing; SARS-CoV-2
PubMed: 33534163
DOI: 10.1002/aorn.13315