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Biomedical subjects

L L Pierce

Publications and source records attributed to L L Pierce.

13 recordsLinked to original sources

Stop and look: two approaches to manage stroke patients.

Two to three million people in this country live with the after-effects of a stroke. Care focuses on increasing the functional abilities of the stroke patient. Currently, there are different approaches used in caring for the stroke patient. Two approaches are presented for consideration in working with the stroke patient. A case study illustrates differences between the two approaches. Regardless of the approach used, consistency and long-term goal setting is necessary for patient progress.

Activities of Daily Living

Developing a poster presentation.

Poster presentations are one method of presenting articles, projects, or research at a professional conference. The purpose of this article is to delineate the development of a poster for presentation. Essential points on topic selection, writing the abstract, development strategies, transport, and handout preparation are included.

Audiovisual Aids

Nurse managers: role expectations and job satisfaction.

The purpose of the study was to assess the relationships among nurse managers' perceived job stress/job satisfaction, time allocation, and role expectations. The dependent variable was job satisfaction. The sample consisted of 72 nurse managers who responded to a self-administered questionnaire. It was found that nursing supervisors are satisfied with the actual time allocation of nurse managers, whereas physicians and nursing staff believe that more of the nurse managers' time should be given to direct patient care. When discrepancies occur about the allocation of nurse manager time, the nurse manager is apt to have lower job satisfaction.

Adult

Urinary tract infections: a quality assurance rehabilitation nursing perspective.

This article describes a quality assurance study related to urinary tract infections at the Great Lakes Regional Rehabilitation Center, Lorain Community Hospital, Lorain, OH. A literature review, methods, and study results are presented. Four practical strategies to deal with urinary tract infections are delineated.

Humans

Rehabilitation nursing approaches to cerebrovascular accident: a comparison of two approaches.

The purpose of this study was to compare patients receiving neurodevelopmental therapy (NDT) to patients receiving a traditional approach. The study took place on two separate medical rehabilitation units, each using just one approach. Patients were assigned to each unit based upon bed availability. The charts of 43 cerebral vascular accident (CVA) patients who received the traditional approach and of 37 CVA patients who received NDT were audited for demographic, functional, and disposition data. No significant differences at admission were found between the two groups, except that the NDT group had higher scores in dressing (p = .04) and toileting (p = .02). At discharge, the NDT group had higher functioning scores on toileting only (p = .03). Length of stay was almost identical between the two groups. Eighty-six percent of the NDT sample were discharged home compared to 78% of the traditional sample, but this was not statistically significant. Thus, the NDT approach does not appear to be superior to the traditional approach. These results imply that there needs to be more careful study of rehabilitation approaches before committing to one specific approach in the nursing care of CVA patients.

Activities of Daily Living

The CRRN examination: preparation and strategies.

The Certified Rehabilitation Registered Nurse (CRRN) certification has become a visible and coveted credential for the practicing rehabilitation nurse. This article presents practical information about preparing for and taking the CRRN examination. Strategies for implementing a study plan and organizing information to increase retention are suggested. In addition, this article offers recommendations for decreasing test anxiety and increasing confidence in test taking.

Certification

Critical care elements in a rehabilitation nursing course.

This article describes a specialized rehabilitation education program, based on adult learning theory, that was developed to promote retention of rehabilitation nurses at MetroHealth Center for Rehabilitation in Cleveland. The curriculum encompasses the skills required to care for rehabilitation patients needing both advanced rehabilitation nursing and critical care nursing. Critical care and rehabilitation nurses collaborated in the presentation of topics and were guided by the course coordinators. Learners were chosen based on experience in rehabilitation, with priority given to those certified in rehabilitation nursing. A variety of evaluation methods elicited positive responses. A 6-month postcourse survey also was completed to assess the long-term effects of the course.

Critical Care

Competency-based nursing in a rehabilitation setting.

The success of achieving a competency-based rehabilitation nursing practice is shared in this article. An education day provided a comprehensive approach to ensure that practicing staff nurses stay abreast of the knowledge and skills necessary to provide quality patient care. This article details the decision-making process, competency development, strategies, and evaluation of the competency program. Formal documentation of competency testing is an asset for follow-up and accreditation review.

Clinical Competence

Developing a poster presentation.

A poster presentation gives a summary of information in a visual format. Poster topics can focus on research, teaching, or projects. Careful layout and meticulous proofreading and editing of the information are important to a poster's success. The practical strategies mentioned in this article can help nurses develop and enhance their poster presentation skills.

Audiovisual Aids

A model for professional rehabilitation nursing practice.

As partners in health care, clinical and administrative nurses must share in the work, risks, and rewards inherent in nursing practice while promoting high-quality results in a cost-conscious and cost-effective environment. One way to achieve these results is by developing a nontraditional rehabilitation structure and nursing practice model. This article discusses practical strategies for constructing and implementing such a model; it also identifies tangible outcomes of using the model. The healthcare environment in the 1990s demands a high level of involvement on the part of staff; the rehabilitation nursing model presented in this article meets this challenge.

Humans