Biomedical subjects

B Pieper

Publications and source records attributed to B Pieper.

59 records · Page 4Linked to original sources

PubMedDate not supplied

Sharing resources for clinical research.

The unstructured, verbal contact of the Sharing Resources Model between persons of different institutions allowed each to accomplish goals. In a time of limited health care funding, this model helped all involved to conduct nursing research. The director and ET nurse explored long-term questions about research. For example, during this time of nursing shortage, how does a nurse researcher include the staff nurse in clinical research? How can clinical agencies implement research findings and monitor their impact? Can research interest of the nursing staff be stimulated by reading research? In addition these individuals were able to document a need for continued research development and research consultation. Sharing of resources allowed the nurse faculty member to be a team member in the agencies in which she was conducting research. Providing consulting allowed her to repay to the agencies the time commitment they made to her research and an opportunity to share with clinical experts. Clinical agencies and schools of nursing need to examine ways to increase research collaboration. Since ET nurses are exposed to numerous researchable questions, they should explore within their agencies the structuring of nursing research. If nursing research assistance is not available, the Sharing Resources Model may initially help ET nurses with their research and document a need to the agency for research assistance. Whatever model the ET nurse uses for research assistance, all involved should benefit.

Clinical Nursing Research↗

PubMedDate not supplied

ET nurses: shared goals, different backgrounds.

The doctorally prepared ET nurse may assume many roles. The goals of these roles are to enhance nursing knowledge, advance patient care, and promote enterostomal therapy in the nursing profession. These are no different than the goal of the ET nurse who is not doctorally prepared. Only the tools one uses to accomplish these goals and, therefore, the route taken may differ. While the doctorally prepared ET nurse has a common background with all ET nurses, he/she has unique skills to share in regards to curriculum and research. By understanding the role, and educational background of an ET nurse, the opportunities to work together to enhance ET nursing are endless.

Consultants↗

PubMedDate not supplied

Effect of backrest on central venous pressure in pediatric cardiac surgery.

Following cardiac surgery in children, accurate monitoring of right ventricular function, as reflected by central venous pressure (CVP) or right atrial pressure, is crucial. Positioning the child supine has been considered necessary to achieve an accurate CVP reading. In this study the effect of backrest elevation on CVP readings in children following cardiac surgery was explored. The sample consisted of 40 children, 1 day to 9 years of age, who had undergone cardiac surgery within the previous 72 hours. CVP measurements at 0- and 30-degree backrest elevations were obtained hourly for 8 hours for each child. CVP readings were not significantly altered by the bedrest elevation. These findings suggest children may remain elevated for CVP readings rather than being awakened and repositioned to a 0-degree backrest elevation. For children who have nasogastric feedings, respiratory insufficiency, or increased intracranial pressure, a 30-degree backrest elevation may be maintained for the CVP reading, as well as for the children's safety and comfort.

Back↗

PubMedDate not supplied

Nurses' knowledge of pressure ulcer prevention, staging, and description.

The purpose of this study was to examine registered nurses' (N = 228) knowledge of pressure ulcer prevention, pressure ulcer staging, and wound description. A 47-item, true-false Pressure Ulcer Knowledge Test was developed for he study. Nurses' knowledge was significantly higher the more recently they had heard a lecture or read an article about pressure ulcers. Knowledge scores were not related to educational background, age, or years of work experience.

Adult↗

PubMedDate not supplied

A comparison of two pressure-relieving devices on the prevention of heel pressure ulcers.

The effectiveness of hospital pillows versus a commercial heel elevation device (the Foot Waffle [EHOB incorporated]) in preventing heel pressure ulcers was examined using an experimental balanced factorial design with repeated measures on 52 patients (ages 27 to 90) in randomized groups. Heel interface pressures were taken with patients in supine and right lateral tilt positions. Logistic regression demonstrated a statistically significant difference between interface pressures on left and right heels (p = .004) and a trend toward significance between the pillow and Foot Waffle (p = .069). The Generalized Estimating Equations (GEE) method revealed the Foot Waffle was four times more likely not to suspend the heel off the bed than the pillow, and the left heel was four-and-a-half times more likely to have higher interface pressures than the right. There was no significant difference between groups in incidence of lower-extremity pressure ulcers, but patients using the Foot Waffle developed pressure ulcers significantly sooner (10 days versus 13 days for the pillow). Heels require additional protection beyond the use of specially beds and mattress overlays. In order to provide continuous heel suspension, clinicians must consider proper fit, turning schedules, patient position, patient activity, and presence of additional equipment when selecting heel protection products. This study illustrates how difficult it is to control for all these factors when doing clinical research. Note: This study was done with a Foot Waffle model that has since been redesigned. No research is available on the new model.

Adult↗