clinical nursing research

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..The results of this project support a wider dissemination of the project's practice guideline for neonatal skin care...

..The American Nurses Association has identified ten specific quality measures that are impacted by nursing care. Referred to as nurse-sensitive quality indicators, these measures include the maintenance of skin integrity...

..Increased knowledge of and education on KC for healthcare providers should lead to increased, routine use of this beneficial intervention...

..In doing so, it explores the realities of practice by deconstructing the complexity of a particular situation and highlights the variety of knowledge that contributes to effective Outreach practice...

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..The evidence was graded and organized into an evidence-based practice guideline for the use of STS care in the treatment of mild hypothermia in the low-risk infant. Suggestions for further research and outcomes measurement are included...

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..It is important to use a holistic approach for determining hydration status in patients, particularly knowledge of signs and symptoms of dehydration...

..This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse-led models in acute and chronic pain...

..When developing and implementing a clinical innovation, input from end users and consumers is pivotal. Incorporating the innovation into a practice guideline provides a structure to imbed research evidence into practice...

..A quality improvement process to guide evidence-based care related to backrest positioning is also described...

..Practice recommendations will be suggested...

..Implementation of this model creates opportunities for staff nurses to recognize ownership of their practice and their role in changing the practice setting to a culture of evidence-based practice...

..Because minimal disruption in a woman's normal hygiene routine could mitigate anxiety and improve coping during a time of extreme stress brought on by a cancer diagnosis, further research is warranted to support changing the practice...

..CONCLUSION: This study demonstrates that critical care nurses do not consistently provide preventive care for PU...

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..NICU caregivers should consider the effects of routine nursing activities that influence the infants, and modify handling to promote techniques to promote preterm infants' recovery, growth and development...

..The device is designed to facilitate female urethral catheterization by exposing the vulvar vestibule, isolating the urethral opening, and blocking the entrance to the vagina...

..In addition, early aggressive implementation of pressure-reducing and pressure-relieving devices was effective in reducing FAPU rates...

..The Quality Improvement protocol developed consists of assessment, patient preparation, ongoing nursing management, comfort, safety, reportable concerns, and documentation...

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..62 and in the control group AUD$3,837.56 (p=0.006). CONCLUSION: Re-siting peripheral venous cannulas when clinically indicated compared with changing them routinely every 3 days does not lead to more complications and reduces costs...

..IMPLICATIONS: Nurses can now evaluate patients at risk for DVT or PE using the JFK Medial Center's risk assessment tool...

..Evidence does, however, support the use of oral thermometry as an accurate means of temperature assessment in the adult, acutely ill population...

..There is evidence that, regardless of practice type or size, implementing guidelines for CSF use within a multidisciplinary team improves patient outcomes...

..The advanced practice nurse is uniquely capable of gathering this evidence and implementing a plan of care that meets the individual needs of the patient, family, nursing staff, and healthcare system...

..The results of a protocol developed to limit catheter use are described...

..Internalization of these concepts into the nursing care we provide to patients with leukemia exemplifies best practice...

..Additionally, physician and nurse satisfaction increased because of better glycemic control using a reliable, safe, and easy tool for the management of insulin infusions and there were fewer interruptive phone calls to physicians...

..Through incorporating contingent earegiving, greater autonomy for the bedside nurse, developmental support, and collaboration, we expect to improve outcomes, comnuinication, and problem solving...

..The implications of sleep and infant success in achieving discharge to home allowed the staff to see not only their role in infant sleep but also the parents' role in their newborn infant's sleep and growth in the nursery...

..Investigators in an ambulatory cardiology setting studied the relationship and their findings supported the recommendations. The AHA recommendations are reviewed along with results of a study in an ambulatory cardiology setting...

..Nurses must be cognizant that this routine intervention may not be innocuous. Close monitoring of patients is essential and, with some, a graduated approach to sitting should be considered...

..There is a lack of quality research testing this method in the critically ill population. The theory-practice gap is addressed, and preliminary research behind use of techniques such as capnography and capnometry is also examined...

..They will thus heighten multiprofessional awareness of the technique and promote its proactive use at such time so as to achieve maximum clinical benefit...

..The alpha-stat and pH-stat methods of blood gas analysis are presented, with arguments for and against using the temperature correction facility for blood gas analysis. The study concludes with recommendations for practice...

..Tonometric measurement using semi-continuous air tonometry is introduced as a strategy to minimize technical limitations...

..This is an example of a service improvement initiative the aim of which was to improve weaning from mechanical ventilation. This paper reviews this approach and presents results from a pilot in one teaching hospital...

..The committee continues to provide education to all staff members on methods to prevent pressure ulcers from occurring in the high-risk burn patient population and ways to reduce the use of elastic wraps and improve patient positioning...

..The recruitment process, education, clinical projects, and lessons learned are detailed in this article as a resource to nursing colleagues in the spirit of professional growth...

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..It is also important to note that the most frequently recommended solution for cleansing pin sites in UK protocols (0.9% normal saline) had the worst outcome, therefore its efficacy in this population may need to be challenged...

..New supplies were trialed. A list of practice changes were agreed upon by respiratory, nursing, and medical staff. Primary responsibility for tracheostomy care was shifted to the registered nurse...

..This nurse-led use of the profiling beds was examined alongside the main study to investigate why they were allocated in this way...

..Outcomes from the introduction of the system include improved electrokardiogram interpretation by nursing staff and improved ECG resource allocation...

..This initiative, the Nightingale Metric Project, can serve as a model for ongoing measurement and improvement of nursing care in all settings...

..This article explains how the protocol came to be written and how it was implemented into the unit...

..While interacting with preterm infants, nurses can sensitively and actively sense preterm infant signals, prevent or ameliorate the early threats to an infant ' s life, and adjust care to support the infant ' s growth and development...

..CONCLUSIONS: These findings suggest that scant bowel output during the first 5 days following birth, or delayed transition of bowel movements to yellow, warrant weighing the infant in a health care professional's office...