Search PubMed⌕ Search

Biomedical subjects

P Beachy

Publications and source records attributed to P Beachy.

6 recordsLinked to original sources
PubMed1994

Nipple feeding premature infants in the neonatal intensive-care unit: factors and decisions.

OBJECTIVE: To rank factors considered important by neonatal intensive-care unit (NICU) nurses in identifying hunger in infants weighing 1,800 g or less, to rank factors considered important in making decisions about nipple feeding such infants, to determine whether the two rankings varied among hospitals, and to identify the caregiver with the greatest influence over feeding decisions. DESIGN: Descriptive comparative survey. SETTING: NICUs of three metropolitan hospitals. PARTICIPANTS: Forty-seven NICU nurses in those hospitals. MAIN OUTCOME MEASURES: Nurses ranked factors indicating hunger in preterm infants and factors contributing to feeding decisions for such infants. RESULTS: Vigorous sucking, rooting, and crying were ranked as hunger cues. Nonnutritive sucking and a gestational age of 34 weeks or more were considered indicators of readiness to begin nipple feeding. The centrality of the nurse's role in feeding decisions was confirmed. CONCLUSIONS: Additional research is needed to determine whether nonnutritive sucking predicts nutritive sucking performance and to study the nurses' responses to infants who suck poorly or refuse to nipple feed.

Adult↗
PubMed1986

Restructuring group meetings for effectiveness.

As hospital systems become more complex, health administrators spend more of their time facilitating group decision making. To have effective group management and active participation, group members must value a meeting, and the group should be able to address a large number of issues in an efficient manner. In one rapidly expanding health care system, a group meeting was evaluated in relation to the format and the value to group members. The meeting was then reorganized for optimal efficiency and an evaluation of the effect of the restructuring on the group's perception of the meeting was done.

Colorado↗
PubMed1984

Nursing care of the infant with persistent pulmonary hypertension of the newborn.

Nursing care for PPHN can make the difference between a smoothly controlled hospital course and a disorganized and stressful one. The authors outline a method for coordinating the baby's care, the lines and monitors, ancillary services, and pharmacologic treatment while working closely with the physician and caring for the parents.

Dopamine↗
PubMed1981

The effect of transcutaneous Po2 monitoring on the frequency of arterial blood gas analysis in the newborn with respiratory distress.

Nineteen infants with respiratory distress and indwelling arterial lines were monitored with a transcutaneous O2 (PtcO2) monitor for 24 h each. These infants were matched with comparably sick newborns not monitored with PtcO2 and cared for in the intensive care nursery within the previous 18 months. The number of arterial blood gases (ABGs) drawn in each group was examined. Results showed that in all but 1 infant, the patients who had PtcO2 monitoring also had fewer ABGs drawn. The mean number of ABGs in the PtcO2 monitored infants was 12.5 + 2.9 (SD) and the mean number of ABGs in the non-PtcO2 monitored infants was 16.2 + 2.4. The authors conclude that supplementary O2 monitoring of sick infants with PtcO2 reduces the frequency of ABG analysis.

Age Factors↗
PubMedDate not supplied

Preventing neonatal kidnapping.

Sixty-eight kidnappings of newborns were reported between 1983 and 1991 in the United States. Assessing perinatal units for areas of vulnerability and addressing identified problems can improve security. Strategies to increase the safety of neonates, including understanding the profile of the potential kidnapper, reviewing common methods of abducting infants, developing visiting guidelines, and instituting staff identification policies and other methods, are discussed.

Adolescent↗