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Biomedical subjects

S Summers

Publications and source records attributed to S Summers.

At least 55 records · Page 3Linked to original sources

Reviewing the research process for postanesthesia care unit studies.

Research studies are needed by and for nurses to validate nursing practice. PACU nurses are in an excellent position to validate PACU nursing practice through research studies that seek solutions to patient problems. Research ideas also may be derived from formal and informal discussions at professional meetings, by testing new products, and reviewing the literature; however, precise steps must be followed to assure accuracy of data collection and the interpretation of the results.

Clinical Nursing Research↗

The effects of two warming methods on core and surface temperatures, hemoglobin oxygen saturation, blood pressure, and perceived comfort of hypothermic postanesthesia patients.

An experimental study was conducted in two PACUs to test the effect of two warming methods on core and surface temperatures, oxygen hemoglobin saturation, blood pressure, and perceived comfort of hypothermic postanesthesia patients. The study was based by Selye's theory of stress, which states that when individuals are confronted with stressors, physiological adaptation occurs to maintain homeostasis. Subjects studied were 91 adult patients who were randomly assigned to two groups: group 1 patients were warmed with the Bair Hugger Warming System (Augustine Medical, Inc, Eden Prairie, MN), and group 2 patients were warmed with warmed bath blankets. Multiple analysis of variance with repeated measures demonstrated significant differences between the two groups on surface temperature, oxygen hemoglobin saturation, and perceived comfort. No significant differences were found between the two groups on core temperature and blood pressure. Implications for PACU nurses include an efficient, cost-saving method to promote patient adaptation to the stressors of inadvertent hypothermia. Further studies are needed to validate the findings from this study and to test nurses' responses to the Bair Hugger Warming System.

Adolescent↗

Effects of heparin versus saline solution on intermittent infusion device irrigation.

The purpose of this study was to compare the effectiveness of 1 ml of 0.9% sodium chloride with 10 units of heparin in 1 ml sodium chloride solution, both containing benzyl alcohol, in maintaining patency and reducing the incidence of phlebitis in patients with intermittent infusion devices. The subjects (N = 32) were randomly assigned in a double-blind experimental design. Repeated-measures analysis of variance revealed no significant difference between the groups in phlebitis or patency variables. The results from this controlled study would suggest that 0.9% sodium chloride is as effective as 10 units of heparin in sodium chloride solution in maintaining intermittent infusion device patency and preventing phlebitis.

Adult↗

The effect of instruction on burn prevention in eighth-grade students in preparation for babysitting.

New parents quickly discover that the greatest resource for child care at the least cost are teenage babysitters. These sitters assume the responsibility for burn prevention of young children. This study tested the effect of a burn prevention presentation on pre- and posttest scores of eighth-grade students (N = 119) from five sections of a science class. Students were between the ages of 12 and 14 years and 99 of them (83.2%) were babysitters. Multiple analysis of variance was calculated, and differences were seen between information regarding burns from hot bath water, cigarette lighters, and baby bottles that were heated in microwave ovens; however, the differences were not significant. This study concluded that eighth-grade students learned burn prevention before they entered the eighth grade but that there is a need to update these babysitters on burn prevention and new hazards such as cigarette lighters and microwave ovens.

Accidents, Home↗

Color pressure garments versus traditional beige pressure garments: perceptions from the public.

Social acceptance of patients with burns may be affected by the color of the pressure garment they wear. The purpose of this study was to ask students (n = 712), health care providers (n = 354), and the public (n = 250) their perceptions of beige versus color pressure garments. It was assumed that beige pressure garments have negative connotations and that colored pressure garments have positive connotations. Data were collected from subjects after they viewed beige, pink, and blue pressure garments. Items on the instrument contained bipolar word pairs rated on a 5-point scale; a rating of 1 indicated positive feelings, and a rating of 5 indicated negative feelings. Cronbach's alpha reliability for the instrument was 0.85, indicating a high internal consistency among items. Paired t test indicated a significant difference between the subjects' perceptions of the beige garments versus their perceptions of the color garments (t = -44.82, p = 0.000) among all subjects (n = 1259). Results indicate that positive feelings toward color garments may lead to social acceptance of the patient with burns, which in turn could increase the patient's self-esteem.

Adult↗

Hypothermia: one nursing diagnosis or three?

The nursing diagnosis of hypothermia has been described by various authors as having multiple defining characteristics. A major problem identified was a lack of consistency on an exact temperature value for this nursing diagnosis. A review of the literature on hypothermia showed three distinct types of hypothermia: inadvertent, accidental, and intentional. Each of these types were distinguished by etiologies and defining characteristics and are presented using the hypothetic model case approach.

Adolescent↗

Inadvertent hypothermia: clinical validation in postanesthesia patients.

The nursing diagnosis of hypothermia contains a variety of defining characteristics and an inconsistency in an exact temperature measurement for this diagnosis. A review of the literature from surgery, anesthesiology, and physiology identified criteria for three types of hypothermia: inadvertent, accidental, and intentional. In addition to the three types, three different core temperatures were given to facilitate medical diagnosis of these types. This study examines inadvertent hypothermia in postanesthesia patients. The findings indicated that inadvertent hypothermia characteristics are distinctly different from the global nursing diagnosis of hypothermia. Future studies are recommended to confirm the findings from this study and to validate accidental and intentional types of hypothermia.

Adult↗

A long night.

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Communication↗