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Biomedical subjects

N Edwards

Publications and source records attributed to N Edwards.

137 records · Page 8Linked to original sources
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Continuing education for nurses in Tianjin Municipality, the People's Republic of China.

BACKGROUND: A descriptive survey examined continuing education experiences of hospital nurses working in Tianjin Municipality, the third largest municipality in The People's Republic of China. METHOD: Fourteen hospitals and two hundred nurses were selected randomly. RESULTS: Over two thirds of the nurses had attended continuing education events in the previous few years. Learning experiences included on-site and off-site workshops; associate degree courses; and teaching strategies of mostly lectures, films and videos. Major barriers discouraging nurses from participating included lack of time, cost, distance, and being denied permission to attend. Nurses working in rural and suburban hospitals reported less access to continuing education opportunities than nurses in urban hospitals. Ninety-six percent of respondents reported they had made changes in their clinical practice as a result of the continuing education activities. CONCLUSION: Strategies to reduce barriers to continuing education and future research examining the impact of continuing nursing education on clinical practice in China need to be developed.

Attitude of Health Personnel↗
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Nursing by numbers.

Explore the source record for details and available documents.

Hospitals, Public↗
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Health promotion and health advocacy for and by immigrants enrolled in English as a second language classes.

An intersectoral immigrant health promotion project in Hamilton, Ontario is described. The project goal was to facilitate the entry of new immigrants to the Ontario health care system and equip them with knowledge and skills to strengthen their preventive and promotive health practices. A needs assessment preceded project development. The three phases of the project are described. The first phase commenced with the development of culturally sensitive health promotion resource materials to be used with immigrants enrolled in English as a Second Language Classes. In phase two, activities focussed on strengthening the ability of ESL teachers to incorporate a preventive and promotive health focus in their classes. The final phase shifted to a community-based project. During this phase, a core immigrant group developed their skills as health advocates for their immigrant community.

Adult↗
PubMedDate not supplied

Desaturated venous-to-arterial shunting reduces right-sided heart failure after cardiopulmonary bypass.

BACKGROUND: Right-sided circulatory failure is a major cause of morbidity in heart transplant and ventricular assist device recipients. METHODS: Several systems for managing right-sided circulatory failure with use of a right-to-left shunt without need for an oxygenator or systemic heparinization were designed and used clinically. RESULTS: A right-to-left shunt was successfully used to treat severe right-sided circulatory failure in both a transplant and a left ventricular assist device recipient. CONCLUSIONS: If constructed between the femoral vein and artery, such a shunt could (1) be easily inserted and removed, (2) selectively infuse the lower extremities with desaturated blood while maintaining cerebral and cardiac perfusion with saturated blood, (3) selectively reduce the risk of paradoxical emboli to the head and heart, and (4) provide a known and adjustable degree of shunting depending on the condition of the patient, a major advantage of this system compared with creation of an atrial septal defect.

Cardiopulmonary Bypass↗
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Factors influencing prenatal class attendance among immigrants in Ottawa-Carleton.

A longitudinal study, examining predictors of infant care behaviours among 283 immigrants in Ottawa-Carleton, included an analysis of factors predicting prenatal class attendance. On bivariate analysis, significant predictors among primiparas included mother's age and education, official language comprehension ability, average number of years resident in Canada, and current immigration status. Using logistic regression analysis, the odds ratio for prenatal class attendance was 7.36 for mothers with excellent or very good official language comprehension compared with mothers who self-rated their ability as fair or poor. Compared with primiparas who were 35 years or older, young mothers (< 25 years) were less likely to have attended prenatal classes (OR = .28) and mothers aged 30 to 34 years were more likely to have attended (OR = 2.22). Among multiparas, maternal age was the only significant predictor of prenatal class attendance. Findings suggest the need for new approaches to prenatal education for immigrant mothers.

Adolescent↗
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Comparison of liaison and staff nurses in discharge referrals of postpartum patients for public health nursing follow-up.

The purpose of this study was to compare hospital staff nurses to public health liaison nurses in the accuracy and cost of postpartum referrals for public health nursing follow-up in the community. In the before phase of the study, public health liaison nurses assessed 304 mothers to determine the need for a follow-up visit by the public health nurse. In the after phase, staff nurses assessed 326 mothers. Public health nurses, unaware of the identity of the referring nurse and the referral decision, judged whether their visit had been required. Staff nurses correctly identified a higher proportion of referrals requiring public health nurse follow-up than liaison nurses. Although they referred more clients who did not require a public health nurse visit, costs of referrals by staff nurses remained lower.

Adult↗
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The implications of day surgery for in-patient hospital wards.

Day surgery is seen as cost-effective and it has reduced waiting list times. This paper shows, however, that its effects on in-patient wards, nurses' workload and emergency medical occupancy of surgical beds have given rise to unexpected problems and that nurses' roles in hospitals and in the community are affected by these changes.

Ambulatory Surgical Procedures↗
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Implementing breast cancer screening guidelines: results of the Ontario Health Status Survey.

INTRODUCTION: The Ontario Health Status Survey (OHS) was undertaken by the Ontario Ministry of Health in 1990 to provide data on factors related to health and health service use in a province of 10 million inhabitants. OHS analyses for this report focused on patterns of breast screening behaviors in relation to physician contact and various sociodemographic and psychological variables. METHODS: The OHS was a probability sample survey using a multistage stratified cluster design to gather household-level data. SUDAAN was used to obtain population estimates for study variables. Data analyses were restricted to women 40 years of age and older. RESULTS: Although over 85% of respondents reported contact with their physicians in the previous 12 months, most women did not adhere to recommended breast screening guidelines. Educational achievement, income adequacy, and smoking status were important factors explaining differences in screening behaviors. CONCLUSIONS: Physicians should not overlook opportunities to recommend mammography screening, where appropriate, and include breast examinations as part of regular physical exams. The involvement of educationally or economically disadvantaged women in the design of appropriate recruitment strategies for breast cancer screening would be informative.

Adult↗