Impact of immunosuppressive regimen on cardiovascular risk factors in kidney transplant recipients.
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Cardiovascular Diseases↗
Biomedical subjects
L Lauzon
Publications and source records attributed to L Lauzon.
Antenatal education for self-diagnosis of the onset of active labour at term.
BACKGROUND: A specific program designed to teach women to recognise active labour may be beneficial through potentially decreasing the incidence of early admission to hospital, increasing women's confidence and decreasing their anxiety. OBJECTIVES: The objective of this review was to assess the effects of teaching pregnant women specific criteria for self-diagnosis of active labour onset in term pregnancy. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. SELECTION CRITERIA: Randomised trials comparing a structured antenatal education intervention for the identification of symptoms for self-diagnosis of active labour with usual care. DATA COLLECTION AND ANALYSIS: Trial quality was assessed. MAIN RESULTS: One study involving 245 women was included. Method of randomisation was unclear and 15% of the sample was lost to follow-up in this trial. A specific antenatal education program was associated with a reduction in the mean number of visits to the labour suite before the onset of labour (weighted mean difference -0. 29, 95% confidence interval -0.47 to -0.11). It is unclear whether this resulted in fewer women being sent home because they were not in labour. REVIEWER'S CONCLUSIONS: There is not enough evidence to evaluate the use of a specific set of criteria for self-diagnosis of active labour.
Female↗
Caregivers' use of strict criteria for diagnosing active labour in term pregnancy.
BACKGROUND: Application of specific criteria for diagnosis of active labour as part of a labour assessment program aims to differentiate more accurately between latent and active phases of labour. OBJECTIVES: The objective of this review was to assess the effects of the use of specific criteria by caregivers in diagnosing active labour in term pregnancy. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. Date of last search: January 1998. SELECTION CRITERIA: Randomised trials comparing caregivers' application of strict diagnostic criteria for active labour with routine care. DATA COLLECTION AND ANALYSIS: Trial quality was assessed. MAIN RESULTS: One study of 209 women was included. The trial was of excellent quality. Women who experienced early labour assessment were less likely to receive intrapartum oxytocics than women who received standard care (odds ratio 0.45, 95% confidence interval 0.25 to 0.80) and analgesia (odds ratio 0.36, 95% confidence interval 0.16 to 0.78). They reported higher levels of control during labour and birth (weighted mean difference 16.00, 95% confidence interval 7.52 to 24.48). There were no differences detected for rate of caesarean section and other important measures of maternal and neonatal outcome. REVIEWER'S CONCLUSIONS: Early labour assessment (which includes use of specific criteria for diagnosis of active labour) may have some positive outcomes for women at term pregnancy.
Caregivers↗
Trusteeship: a serious responsibility.
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Governing Board↗
Development of a quality assurance tool for critical care.
Current conditions in the health care arena demand that nurses be held accountable for the quality of nursing care delivered. Nursing administrators today face multiple challenges which include incorporating the expanding role of the nurse, dealing with financial constraints, and meeting the demands of an increasingly informed public. These factors combine to emphasize the need to examine the quality of care delivered and to identify and promote effective nursing care behaviours. The use of a quality assurance tool can be invaluable in revealing areas of both excellence and weakness in the care of clients, as well as providing a solid foundation for change. This paper will follow the authors through the development and implementation of a unit-specific quality assurance tool for a critical care area. We begin with a brief review of the literature and explore the factors relevant to our decision to choose a concurrent chart audit as our tool. We then describe the discovery of standards, the design of the tool itself, and follow the process of testing, approval and implementation of the tool for use in our institution. Finally, we explain the methods used to introduce the tool to staff and elicit their support to monitor and thus improve the quality of nursing care delivered.
Critical Care↗