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Biomedical subjects

S Gennaro

Publications and source records attributed to S Gennaro.

At least 37 records · Page 2Linked to original sources
PubMed1994

Research utilization: an overview.

Nursing practice needs to be research based, not only to provide the best possible care to patients but also to ensure that nursing as a profession continues to grow. Criteria to help nurses determine how and when to implement research-based practice changes are presented. Forces that facilitate research utilization are discussed, as are barriers to research utilization. Areas of research that are ready to be implemented in women's health, obstetric, and neonatal nursing are presented.

Attitude of Health Personnel↗
PubMed1993

The association between CNS direct care time and total time and very low birth weight infant outcomes.

This study examined the association between the amount of direct care time and total time (direct and administrative) spent by CNSs with families of 39 very low birth weight infants (< or = 1500 grams) and infant outcomes (rehospitalizations and acute care visits). Documentation of the CNSs' time spent with infants and families was recorded during infant hospitalization and for 18 months after infant discharge. The number of infant rehospitalizations and acute care visits was recorded from hospital and physician records. The mean total time the CNS spent per infant for the 18-month period was 27.3 hours. After discharge, there were significant relationships between the amount of CNS direct care time and the number of acute care visits (r = 0.45, p < 0.01) and infant rehospitalizations (r = 0.51, p < 0.01). Although the study findings did not demonstrate improved infant outcomes associated with the amount of time the CNS spent with this high risk population, they document the amount of CNS time spent in intervention and follow-up of these infants. This study provides data for costing home visiting by the CNS in this patient population.

Adolescent↗
PubMed1993

Perinatal education for parents of high-risk infants.

This article presents research-based information about the teaching needs of parents of low-birth-weight, preterm infants. An overview is presented regarding who needs to be taught, at what times, and in what manner. The type of information that parents have stated they found important is reviewed, as are general categories of information that health care providers feel are important for families to know. Family teaching is a critical component of the care nurses give because it helps to ensure that families are able to care for their infants at home.

Child Development↗
PubMed1992

Health policy dilemmas related to high technology infertility services.

As cost containment in health care becomes an important concern, the costs and benefits of specific health care services will be more closely examined. The costs and benefits of one type of health care, high technology infertility services, are explored in this paper. These services may be particularly susceptible to cost containment since they are costly, raise ethical issues, and because they currently are provided to healthy individuals not experiencing life-threatening illness who can afford them.

Adult↗
PubMed1992

Discharge planning and home care for low-birth-weight infants.

This article presents a review of discharge planning and home follow-up for low-birth-weight infants. The scope of the problem of low birth weight and postdischarge health status of low-birth-weight infants are presented in overview. Discharge planning and home care are detailed for healthy low-birth-weight infants and for low-birth-weight infants requiring various levels of technologic support in the home. Emphasis is on comprehensive discharge planning and home follow-up to facilitate continuity and quality of postdischarge care. Nursing's role is critical to the discharge planning and the postdischarge care process.

Community Health Nursing↗
PubMed1991

Functions of the CNS in early discharge and home followup of very low birthweight infants.

Various studies have been conducted which explore the different functions of the clinical nurse specialist (CNS). This study details the functions of CNSs providing direct patient care before and following hospital discharge of very low birthweight infants and effect on patient outcome. The study reports on CNS interactions with 36 families whose infants were discharged early from the hospital, and who received discharge planning, teaching, and home followup for 18 months.

Adult↗
PubMedDate not supplied

Patterns of postpartum health in mothers of low birth weight infants.

Our purpose in conducting this prospective, descriptive study was to examine patterns of maternal health in women who delivered a low birth weight (LBW; < or = 2,500 g) infant until 6 months past the mothers' estimated date of confinement (EDC). Sixty-eight mothers of LBW infants were interviewed at nine data collection points: delivery, original EDC, infant discharge, and every month thereafter for 6 months. Health was assessed using the Health Perceptions Questionnaire and a structured interview (the Health Interview Schedule). Maternal acute care visits occurred throughout the study, with at least 71% of the mothers reporting one acute care visit. Sixty-four percent of the mothers reported having to change their activities because of ill health between the time their infant went home and the 6-month data point. At the 6-month data point, 19% of the mothers still rated their health as fair to very poor. An ongoing assessment of maternal health is important in mothers of LBW infants so that their health can be optimized.

Adult↗
PubMedDate not supplied

Immune alterations associated with epidural analgesia for labor and delivery.

PURPOSE: Epidural analgesia is frequently used for the laboring woman and commonly regarded as safe. The association of epidural analgesia with fever, in the absence of infection, in this population can result in unnecessary sepsis workups in both neonates and mothers. Studies in other populations of patients have found that epidural anesthesia may be associated with alterations in white blood cell count parameters. This study was designed to determine if epidural analgesia is associated with alterations in immune profile or immune function in healthy afebrile postpartum women. DESIGN: This prospective quasi-experimental study examined a convenience sample of normal afebrile postpartum women in two groups for differences in immune profile and immune function based on whether they received epidural analgesia during labor and delivery. METHODS: Mothers who agreed to participate in the study and met inclusion criteria had blood drawn for immune profile and immune function studies within 24 hours of their delivery. This study looked at immune phenotypic profile, lymphocyte proliferative response, and NK lysis assays. RESULTS: No differences in immune profile or immune function were found based on administration of epidural analgesia. CLINICAL IMPLICATIONS: Nurses can be confident that the white blood cell count and other phenotypic measures of leukocytes are not affected by epidural analgesia. Thus the epidural analgesic technique appears not to alter immune measures of infection in postpartum women. In evaluating fever in postpartum mothers and neonates, nurses should consider prior receipt of epidural analgesia and measures of immune profile. In addition to fever and white blood cell counts, other signs and symptoms of infection should also be evaluated in postpartum women when infection is suspected.

Analgesia, Epidural↗
PubMedDate not supplied

International nursing: the past 25 years and beyond.

International nursing has grown substantially in the last 25 years. Once practiced only during war time, with immigrant populations, or in peace time in consultative roles, international nursing is now common, with direct practice, education, consultation, and research collaboration as the roles in which nurses work across borders. A brief history of international nursing, forces that have influenced its growth, and an assessment of its future are discussed.

Education, Nursing↗