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Biomedical subjects

C C Kee

Publications and source records attributed to C C Kee.

30 records · Page 2Linked to original sources
PubMed1989

Perioperative nursing: the neglected specialty.

1. Changes in nursing curricula have caused two problems for perioperative nursing: it is difficult to recruit nurses since few understand the specialty, and there is a perception that the perioperative nurse is a handmaiden to the physician. 2. In ambulatory surgery settings, the perioperative nurse is often the only caregiver patients encounter; thus, patient care must be at the highest level possible. 3. Although associate and baccalaureate curricula offer few perioperative nursing experiences, future nurses must be recruited from these programs. 4. Many issues need to be addressed so that desirable programs for perioperative nurses can be developed.

Curriculum↗
PubMedDate not supplied

Perspectives on the nursing management of osteoarthritis.

Osteoarthritis is a daily presence in the lives of almost 16 million older people. Without expert nursing care, functional health status and the ability to manage independently may be dramatically altered. Nursing parameters include pain control, medication assessment, use of exercise, diet, joint protection, and attention to the psychosocial factors that affect both pain and disability. Patient education with regular, periodic follow-up is a vital part of successful long-term management.

Activities of Daily Living↗
PubMedDate not supplied

Coping and psychosocial adjustment of women with diabetes.

PURPOSE: The purpose of this study was to investigate relationships between coping styles and psychosocial adjustment for women with diabetes. METHODS: The sample consisted of 115 community-residing women with diabetes. Coping was measured by the Revised Jalowiec Coping Scale and psychosocial adjustment by the Psychosocial Adjustment to Illness Scale. Pearson's product moment correlation was used to assess relationships between coping and adjustment. RESULTS: The most frequently and effectively used coping styles were optimistic, confrontive, self-reliant, and supportant. The psychological, social, and health care domains showed the most problems; the fewest were in the extended family, sexual, and vocational domains. Relationships were found between women's coping styles and psychosocial adjustment, with better adjustment associated with effective use of confrontive, supportant, optimistic, self-reliant, and palliative coping styles. CONCLUSIONS: Important relationships exist between the ways women cope with diabetes and their level of psychosocial adjustment to the illness. Knowledge of these relationships can help diabetes educators assist clients in making lifestyle changes.

Adaptation, Psychological↗
PubMedDate not supplied

Assessing the impact of an outpatient education program for patients with gestational diabetes.

In this descriptive study, two treatment approaches designed to help women with gestational diabetes manage their pregnancies were compared: a hospital, outpatient-based, nursing intervention and the traditional, office-based care provided by obstetricians. A research model was constructed using three variables suggested by the literature: input variables (risk factors prior to gestation), moderating variables (conditions that occur during pregnancy), and outcome variables (normal vs abnormal outcomes for mother and infant). This research model was used to contrast the two treatment approaches. The principal statistical procedure employed was logistic regression, a backward elimination method where the dependent variable is expressed as an odds ratio. Neither treatment approach significantly reduced the risk of abnormal outcomes for mother or infant. First-time mothers, patients with gestational diabetes on medications, and patients with gestational diabetes experiencing complications during pregnancy had a significantly greater risk of having an infant with one or more abnormal outcomes.

Ambulatory Care↗
PubMedDate not supplied

Revisiting CPR knowledge and skills among registered nurses.

The purpose of this investigation was to explore facets involved in the retention of the cognitive knowledge and psychomotor skills of cardiopulmonary resuscitation (CPR) by 73 RNs from three general hospitals. Data analysis indicated that cognitive knowledge was adequately retained but that skills were not. Product-moment correlation coefficients showed that the number of CPR courses taken, certification as a CPR instructor, the number of years certified, and time since last certification were significantly related to skill scores. Findings prompt questions of appropriateness of the usual certification procedures for hospital-based RNs.

Adult↗
PubMedDate not supplied

A gaming strategy for teaching the use of critical cardiovascular drugs.

This article reports the use of a successful strategy for teaching non-critical care nurses how to safely administer critical cardiovascular drugs. The use of a gaming technique to accomplish this, accompanied by a caricature case study, is described in detail. Participants' evaluations evidenced a high degree of satisfaction and enjoyment in learning the pharmacological content. Readers can adapt this game to other learning topics for rapid and effective learning of material specific to their institutions.

Audiovisual Aids↗
PubMedDate not supplied

The retention of advanced cardiac life support knowledge among registered nurses.

In an investigation into the retention of advanced cardiac life support (ACLS) knowledge over time, the authors found that ACLS scores significantly decreased for a subgroup of a sample of 40 RNs employed in critical care areas in the first year after certification. Several variables that influenced scores were identified. Recommendations for inservice educators include reconstructing the ways in which ACLS courses are taught, conducting mock mega code scenarios every 6 months, constructing mega code scenarios that reflect the reality of practice, and routinely conducting refresher courses based on problems identified in a particular group.

Adult↗
PubMedDate not supplied

Effects of varying intervals between heparin flushes on pediatric catheter longevity.

The effectiveness of 4-, 6-, and 8-hour heparin flushing intervals on the logevity of 22- and 24-gauge intermittent i.v. catheters was examined in 83 pediatric patients. Catheters lasted 18-20 hours longer with 6- and 8-hour flushing intervals than with 4-hour intervals. A comparison of 22- and 24-gauge catheters revealed that there was no difference in longevity based on size. Also, use of medications did not affect catheter longevity. Age differences in catheter longevity were noted (greater longevity in older children) and is a result that needs further research. Based on the results of this study, if longer flushing intervals were used, fewer i.v.'s would have to be restarted and nursing time caring for i.v.'s would be decreased.

Adolescent↗