RESUMO
Glomus jugulare tumours are rare, hypervascular and usually benign tumours involving the skull base. Diagnosis can be significantly delayed due to the slow and insidious clinical presentation. The primary manifestations involve auditory and lower cranial nerve deficits. Treatment options may include surgery, radiation and embolization. Surgery is the optimal treatment modality, but is not without serious potential complications. These complications are linked to the location and vascular nature of the tumour. Glomus jugulare tumours present a significant diagnostic and management challenge to all members of the health care team.
Assuntos
Tumor do Glomo Jugular/diagnóstico , Tumor do Glomo Jugular/terapia , Papel do Profissional de Enfermagem , Assistência Perioperatória , Angiografia Digital , Diagnóstico Diferencial , Diagnóstico Precoce , Embolização Terapêutica/métodos , Embolização Terapêutica/enfermagem , Feminino , Tumor do Glomo Jugular/complicações , Tumor do Glomo Jugular/epidemiologia , Cefaleia/etiologia , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente/organização & administração , Assistência Perioperatória/métodos , Assistência Perioperatória/enfermagem , Prevalência , Prognóstico , Doenças Raras , Fatores de Risco , Zumbido/etiologia , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
We describe our experience with a Nursing Usability Laboratory, where human factors design principles were applied to common nursing procedures. Our first step was to develop a human factors usability checklist. We then used this checklist while observing 11 nurses completing two standardized tasks on a simulated patient: (1) programming an insulin infusion and (2) programming a heparin infusion. We found that a usability checklist can help to uncover systematic error-provoking conditions in nursing tasks, that immediate improvements can be made in nursing training and practice and that participant nurses found the process useful. This paper will be of interest to any hospital seeking to enhance safety by applying human factors design principles.
