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Biomedical subjects

Ayhan Aytekin Lash

Publications and source records attributed to Ayhan Aytekin Lash.

7 recordsLinked to original sources

Magnet designation: A communiqué to the profession and the public about nursing excellence.

Achieving Magnet designation by health care institutions is gaining momentum, both nationally and internationally. The impetus behind the Magnet movement is its sole focus on nursing care services. Hence, imbedded in the Magnet designation is the concept of the recognition of nursing services reaching a high level of excellence. Research conducted during the last 2 decades provides evidence that Magnet recognition has been a successful organizational reform that holds promise to shape patient care quality in all types of health care institutions.

Clinical Competence↗

Achieving Magnet recognition: the process.

Awareness of the Magnet Recognition Program is increasing as health care organizations struggle with the challenges of recruiting and retaining professional nurses and benchmarking nursing-sensitive patient outcomes. Steps in the Magnet process include application, written documentation and evaluation, site visit, decision, and award. These steps are outlined in this article to inform and assist staff nurses in health care organizations that may consider seeking this designation. The more staff nurses know about the elements and process of the Magnet program, the more they can contribute to achieving this prestigious award for quality nursing care.

Credentialing↗

Magnet Recognition Program 2005: an update.

The Magnet Recognition Program has been revised to simplify instructions, eliminate redundancy, and reduce the documentation burden for applicants. One of the major changes is that required documentation is now categorized by the 14 Forces of Magnetism to match the Scope and Standards for Nurse Administrators (American Nurses Association [ANA], 2004) through the use of a crosswalk matrix. However, in general, the original concepts that characterized Magnet recognition remain intact.

American Nurses' Association↗

Systemic lupus erythematosus in the intensive care unit.

The prototype autoimmune disorder SLE is a highly variable disease characterized by episodic exacerbations, some of which are severe enough to require admission to the ICU. Infection, disease activity, and cardiovascular complications are among the major reasons for admission. Drugs, particularly the immunosuppressants used to treat SLE, often cause as much injury to the immune system as the disease itself, and intensive treatments are often required to combat the side effects of these drugs. Studies indicate that sex, age, and race affect both morbidity and mortality in SLE. Despite well-documented patterns of morbidity and mortality and episodic exacerbations requiring admission to the ICU, the specific nursing care needs of patients with SLE admitted to the ICU have not been investigated.

Critical Care↗

Fibromyalgia: evolving concepts and management in primary care settings.

During the last 10 years, fibromyalgia (FM) research shifted focus from psychological and behavioral issues to sleep, nociception, and neuroendocrinology. Although there are still no definitive markers of the disease, a barrage of studies in physiological, psychological, and behavioral sciences have now dispelled the belief that FM is solely psychosomatic. Studies in the late 1990s as well as in the early part of the current decade reaffirm earlier research that sleep abnormalities and alterations in nociception may partly be responsible for FM. While sleep research shows that FM patients typically are deficient in stage IV (restorative) sleep, most current studies in nociception now affirm that patients with FM exhibit low serum serotonin in combination with increased substance P levels in the cerebrospinal fluid. Although there is still no cure, treatment aimed at promoting sleep, interrupting nociception, and actively involving patient and family in FM management can bring lifetime control for the disease.

Analgesics↗

A decade of international activities by US nurse faculty: a descriptive analysis.

BACKGROUND: In this era of increasing international awareness, few studies have revealed the contributions of US nurse faculty abroad. PURPOSE: Our purpose was to assess the scholarly activities, defined as teaching, research, consultation, and service, of US nurse faculty abroad from 1985 to 1995. METHOD: As part of a larger study (J Nurs Scholarsh 2000;32:415-20), nurse scholars were asked to describe their international work from 1985 to 1995. Nursing faculty (N = 2254) from all (N = 62) nursing doctoral programs active in 1995 were mailed an investigator-developed questionnaire via their institution. FINDING: From 1010 responses, 247 scholars described 805 visits to 109 countries. US nurse faculty assisted in the introduction and continuation of university-based nursing education worldwide. Research activities were either site-specific to the country or related to general issues. Geographic regions differed in the number of visits they received and the type of scholarly activity undertaken. CONCLUSIONS: US nurse faculty were involved in diverse and widespread international nursing activities.

Education, Nursing↗

The stress response, psychoneuroimmunology, and stress among ICU patients.

Multiple stressors, physical and psychological, may beset intensive care unit patients. This article opens with a description of the stress cascade and its connection with immunity. Examples of intensive care unit stressors follow, along with various proposed interventions to reduce psychological stress among intensive care unit patients. Although researchers have yet to establish that such interventions will positively impact immune function, they are an essential component of compassionate and holistic care.

Critical Illness↗