RESUMO
In today's complex health care environment, staff nurses are responsible for having the skills to analyze complicated patient situations, develop complex plans of care, and skillfully communicate with the health care team. The establishment of a new progressive care unit presented a unique opportunity to create innovative educational structures. Expert nurses developed successful strategies that can be incorporated on any unit to facilitate learning for all nurses. The "Teach Me Tuesday" structure was created to enhance patient safety and information sharing. A more formal class, Cardiac Construction 101, was developed to help novice nurses fill their figurative tool box with skills to care for complex patients. Distinct courses of treatment for patients on the unit were selected for "Third Thursday" case studies.
Assuntos
Mentores , Modelos Educacionais , Segurança do Paciente/normas , Desenvolvimento de Pessoal/organização & administração , Desenvolvimento de Pessoal/normas , Educação Continuada em Enfermagem , Humanos , Pesquisa em Avaliação de Enfermagem , Inovação Organizacional , Guias de Prática Clínica como Assunto , Desenvolvimento de ProgramasRESUMO
BACKGROUND AND RESEARCH OBJECTIVE: Randomized studies are limited on whether the use of procoagulant pads improve outcomes after arterial sheath removal in interventional cardiology patients. The purpose of this study was to determine if the use of a procoagulant pad in combination with manual compression would decrease time to hemostasis compared with our institution's manual compression alone procedure after arterial sheath removal associated with a percutaneous coronary intervention (PCI). PARTICIPANTS AND METHODS: A convenience sample of PCI patients were randomly assigned to 3 methods for achieving hemostasis at the femoral artery site after sheath removal (manual compression alone, SyvekPatch NT plus manual compression, and D-Stat Dry plus manual compression). Outcome variables included time to hemostasis, number of pressure applications, and development of complications. Analysis of variance and χ analysis were used to test differences among the 3 groups, with P < .05 considered significant. RESULTS AND CONCLUSIONS: A total of 80 PCI patients were studied (n = 26 manual compression only; n = 26 SyvekPatch NT; n = 28 D-Stat Dry). Significant differences were found among the 3 methods for time to hemostasis (F2,77 = 4.12, P = .020), with the manual compression alone method significantly longer than either of the 2 procoagulant pad groups. Complications were rare and were not significantly different with the 3 methods.
