RESUMO
The Nursing Research Committee in a large, tertiary care teaching hospital used Horn model for research use to develop research bases practice guidelines for the care of patients with central venous catheters. Development of these guidelines was the outcome of a process for planned change including a critique of relevant literature consultation with clinical experts, involvement and commitment of stakeholders, and the development of an educational plan. The recommendations focus on the technique for the central venous catheter procedure, cleansing of the site, use of ointments, and application of dressings. Used as clinical practice guidelines, they offer nurses a scientific basis for their practice.
Assuntos
Cateterismo Venoso Central/enfermagem , Pesquisa em Enfermagem Clínica , Guias de Prática Clínica como Assunto , Bandagens , Humanos , Controle de Infecções , Modelos de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Avaliação de Processos e Resultados em Cuidados de Saúde , Comitê de Profissionais , Higiene da PeleRESUMO
Deciding if a project is one of research or quality improvement is a dilemma frequently faced by nursing administrators. Guidelines have been established to help administrators and practitioners overcome this dilemma and, at the same time, consider the rights and responsibilities of the patient, the hospital, and the investigator.
Assuntos
Pesquisa em Enfermagem Clínica/classificação , Garantia da Qualidade dos Cuidados de Saúde/classificação , Idoso , Canadá , Humanos , Enfermeiros Administradores , Cuidados de Enfermagem/normas , Satisfação do Paciente , Listas de EsperaRESUMO
Body temperatures of 37 elderly surgical patients with fractured hips were measured using tympanic membrane probes. Comparisons were made between patients having the usual body coverings, eight were hypothermic as compared with one of 16 patients with extra body coverings. Temperatures were significantly different between groups intraoperatively (p less than .001) and in the recovery room p less than .002) where the lowest temperatures were recorded. Anxiolytics given preoperatively had a significant negative relationship with lower body temperatures. Careful monitoring of temperatures and extra coverings are recommended for elderly hip fractured patients perioperatively.