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N Hoffart

Publications and source records attributed to N Hoffart.

At least 19 recordsLinked to original sources
PubMed1995

Vascular access.

Explore the source record for details and available documents.

Catheters, Indwelling↗
PubMed1995

The nurse executive as multiple frame manager.

Determining the skills a nurse executive needs to be successful in today's changing health care market continues to be a popular focus for discussion and research. The use of multiframe organizational management, an approach previously unexplored with nurse executives, was the focus of a qualitative research study with five nurse executives practicing in a large midwestern metropolitan area. The study not only revealed how nurse executives use this skill in their everyday practice, but also provided a profile of how one nurse executive uses multiframe organizational management.

Adaptation, Psychological↗
PubMed1995

Implementation of a professional practice model for nursing in a rural hospital.

Growing concern about rural hospitals and the health of rural citizens highlight the need for high quality, progressive nursing care. To address this concern, several program changes to improve patient and organizational outcomes were made in one rural hospital; implementation success varied. Hospital culture and changes occurring within the health care environment affected the change process.

Continuity of Patient Care↗
PubMed1995

Characteristics of nephrology nurse researchers and their research.

OBJECTIVES: To identify the characteristics of nurses who are conducting research related to renal disease and the care of nephrology patients and to describe the investigations these researchers have conducted. DESIGN: Mailed survey using an investigator-adapted questionnaire, "ANNA Survey of Nephrology Nurse Researchers." SAMPLE/SETTING: Survey mailed to all 1991 members of ANNA's Research Special Interest Group and distributed via mail or at a nursing research conference to other nurses who were known to have conducted nephrology research. Ninety-six of the approximately 400 questionnaires that were distributed were returned; respondents described 147 research projects/programs of study. METHODS: Data were analyzed using descriptive statistics and chi-square analysis. RESULTS: Most respondents were master's prepared nurses who had completed one research study. Adults were the subjects in the majority of studies, and psychosocial phenomena and quality of life were the most frequently identified study foci. Descriptive and comparative studies were more common than experimental investigations. CONCLUSIONS: The findings indicate beginning exploration of a variety of patient care and administrative problems by nephrology nurses. Notably absent, however, was research on topics that present challenges to practicing nephrology nurses, including symptom management, care of diabetic and elderly renal patients, ethical issues, and cardiovascular complications of renal disease. Additional experimental research is needed, particularly to test nursing interventions aimed at alleviating common problems experienced by renal patients.

Humans↗
PubMed1994

Outpatient recovery after laparoscopic cholecystectomy.

Economic incentives and technologic advances have encouraged health care providers to shift an increasing portion of postoperative care out of the hospital. Selected patients undergo complex outpatient surgical procedures and are discharged within 24 hours of surgery. Because this trend is relatively new, published accounts of patients' experiences with at-home recovery are rare. Consequently, the authors conducted a qualitative study of 19 patients who underwent laparoscopic cholecystectomy procedures on an outpatient basis. Using semistructured postoperative telephone interviews, the authors monitored the patients' recovery processes. One theme (ie, toward a usual self) with two patterns (ie, progressive activity, self-management) emerged. The results reveal patients' definitions of recovery, understanding of postoperative instructions, willingness to ask questions, and advice for patients undergoing similar procedures. Nursing implications for discharge instructions and follow-up care also are discussed.

Adult↗
PubMed1992

Acute renal failure in bone marrow transplantation.

Acute renal failure (ARF) is a serious complication in clients who have undergone bone marrow transplantation (BMT). The majority of cases develop as a result of intrarenal damage. Renal ischemia or nephrotoxic drugs, free hemoglobin, and free myoglobin contribute to acute tubular necrosis (ATN), which is the most likely cause of ARF in BMT clients. Nursing care of hospitalized BMT clients is directed toward the prevention of ARF by identifying clients who are at risk, the early diagnosis of renal impairment, and the administration of comprehensive treatment. Nurses play a vital role in the early diagnosis of renal impairment by assessing the client's fluid status, serum and urine electrolyte levels, and daily weights. The nursing role in managing clients with ARF includes preventing drug nephrotoxicity, maintaining fluid and electrolyte balance, preventing infection, and providing emotional support.

Acute Kidney Injury↗
PubMed1991

The synthetic axillofemoral graft for hemodialysis access.

Patients who have exhausted all options for conventional dialysis access due to lack of available vessels may be candidates for placement of a synthetic axillofemoral vascular graft. The axillofemoral access is surgically constructed under general anesthesia. The synthetic graft is anastomosed, end to side, to the axillary artery, proximally, and distally to the common femoral vein. Surgical complications have been negligible and intravascular blood flow rates support efficient dialysis. A review of two cases demonstrates the positive outcomes and acceptability of this nonconventional approach for blood access in hemodialysis patients.

Arteriovenous Shunt, Surgical↗
PubMed1989

Nephrology nursing 1915-1970: a historical study of the integration of technology and care.

Findings of this study of the role and functions of nurses working with renal dialysis and transplant teams between 1915 and 1970 suggest that many of the activities of dialysis and transplant nurses were assistive and technical in nature. However, further analysis of the characteristics of direct nursing care demonstrates that early nephrology nurses incorporated family support, interpersonal communication, and patient teaching as essential components in order to assist patients and their families in coping with the stresses of receiving these new experimental treatments.

History of Nursing↗
PubMed1989

A professional organization for nephrology nurses.

The American Association for Nephrology Nurses (AANN), the predecessor of the American Nephrology Nurses' Association (ANNA), was formed in April 1969, in Atlantic City, New Jersey, but the beginnings of the organization reach back to the early 1960s. This article will review the events leading to the formation of AANN and discuss sources of support for the effort.

History of Nursing↗
PubMedDate not supplied

Health services research in nursing: current status and future directions.

To assess the current status of health services research in nursing, 113 studies reported between 1980 and 1989 were reviewed. Identified gaps in this research included comprehensive cost-benefit and cost-effectiveness analyses, effects of technology on patient care, evaluations of information systems, evaluations of innovative care delivery approaches, and studies of ethical issues related to the use of scarce resources.

Clinical Nursing Research↗