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Biomedical subjects

W R Waugaman

Publications and source records attributed to W R Waugaman.

At least 19 recordsLinked to original sources
PubMed1999

From nurse to nurse anesthetist: the relationship of culture, race, and ethnicity to professional socialization and career commitment of advanced practice nurses.

The purpose of this study was to identify the relationship of culture, race, and ethnicity on professional socialization and career commitment of student registered nurse anesthetists. A 78-item, self-administered questionnaire was mailed to the United States population of student nurse anesthetists (N = 2,008) yielding a 56% response. Demographic data and the dimensions of socialization were analyzed with chi-square and weighted least-squares linear analysis of variance. Four scales assessed the relationship of age, gender, culture/race/ethnicity, and views of culturally congruent care on the socialization process. In all dimensions of socialization, culture and race/ethnicity both correlated significantly (p < .05) for all nondominant groups compared to the dominant European American White group. Responses from Asian-Pacific Islanders were most positively correlated to all dimensions of socialization. Hispanics responded least positively to a life-time commitment to the career in nurse anesthesia by culture (p = .003) and ethnicity (p = .009).

Adult↗
PubMed1998

Inspiring teaching.

Explore the source record for details and available documents.

Education, Nursing, Graduate↗
PubMed1996

Perioperative nursing in Israel.

Perioperative nursing in Israel's Hadassah Medical Organization hospitals-Ein Kerem and Mt Scopus-reflects quality patient care practices paralleling those in US hospitals. Although these two hospitals, both located in Jerusalem, represent only 5% of the hospital beds in Israel, they receive more than 60% of referrals made to all Israel hospitals. Throughout Israel's tumultuous history, the Hadassah Medical Organization has served the country during both war and peace. In 1991, Mt Scopus was designated as the hospital on duty in case of a chemical attack during the Gulf War. The authors provide an overview of perioperative nursing at the Eln Kerem and Mt Scopus Medical Centers of the Hadassah Medical Organization and describe one American nurse's experience as a volunteer in the Mt Scopus Medical Center OR during the Gulf War.

Delivery of Health Care↗
PubMed1996

Nurse anesthesia and multiculturalism.

Program directors from 90 accredited nurse anesthesia programs in the United States and Puerto Rico were surveyed concerning multicultural issues. This article summarizes the identified needs of clients and student nurse anesthetists from culturally diverse backgrounds. Noteworthy findings include the perception that clients were more disadvantaged than students because of differences in socioeconomic status; the fact that about half of the programs provided students with instruction on cultural differences; and the observation that specific units of instruction within courses were the most frequent way of giving instruction in this subject area.

Communication Barriers↗
PubMed1995

CRNAs: an enviable legacy of patient service.

The profession of nurse anesthesia and the role of the certified registered nurse anesthetist (CRNA) is chronicled to acquaint the general nursing population and those within advanced practice specialties of nursing to the discipline of anesthesiology. Historical highlights, professional definitions, scope of practice, insights into the educational preparation of CRNAs, employment settings, and marketplace opportunities are described. Professional challenges and opportunities facing CRNAs have come from both within and outside the nursing community. By facing these challenges CRNAs have demonstrated their tenacity in professional commitment to the delivery of quality patient care for more than 100 years.

History, 20th Century↗
PubMed1993

Ketorolac and propofol administration for prevention of nausea and vomiting in patients undergoing minor gynecologic surgery.

This clinical review explores the efficacy of the nonsteroidal antiinflammatory agent, ketorolac tromethamine, added to an anesthetic regimen utilizing intravenous propofol. Both agents have been shown to reduce the incidence of nausea and vomiting postoperatively when administered to patients undergoing minor gynecologic surgery. Because the incidence of nausea and vomiting is significantly reduced when ketorolac is used in place of opioids to attenuate postoperative pain, it would appear to be an appropriate choice of agent to use following propofol anesthesia. The use of this combination of drugs may not only reduce the incidence of postoperative nausea and vomiting in patients undergoing minor gynecologic surgery, but could reduce the duration of hospitalization and enhance recovery from anesthesia.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed1991

Anesthetic and hemodynamic effects of dexmedetomidine during isoflurane anesthesia in a canine model.

Dexmedetomidine, an alpha 2-adrenergic agonist, was administered during isoflurane anesthesia to investigate its anesthetic sparing and hemodynamic effects in the canine model. Eleven healthy dogs were anesthetized with isoflurane, intubated, and allowed to breathe spontaneously. The animals were instrumented in order to measure or calculate mean arterial blood pressure (MABP), heart rate (HR), left ventricular end diastolic pressure (LVEDP), cardiac output (CO), and systemic vascular resistance (SVR). Isoflurane minimum alveolar concentration (MAC), baseline hemodynamic measurements, and plasma catecholamine levels were determined. A 20 micrograms/kg bolus of dexmedetomidine was injected intravenously (IV) and MAC and hemodynamic values were redetermined. When isoflurane requirements were 33% of baseline, isoflurane was returned to 90% MAC and the alpha 2-antagonist, atipamezole, was administered. All dogs were treated with 40 micrograms/kg glycopyrrolate throughout the experiment to prevent any bradycardic response. Dexmedetomidine reduced isoflurane MAC by 86%. SVR, MABP, and LVEDP were significantly increased while CO and catechloamine levels were reduced. Atipamezole fully reversed the reduction in anesthetic requirements. MABP and catecholamine levels returned to baseline. SVR and LVEDP increased while CO decreased. The dogs exhibited a profound reduction in anesthetic requirement, reduced catecholamine levels, and changes in hemodynamic parameters with dexmedetomidine administration. The anesthetic sparing effect appears to be mediated by the alpha 2-receptor, since atipamezole reversed the reduction in MAC. Hemodynamic changes may be species or dose related, or due to differences in existing sympathetic tone. The role of dexmedetomidine warrants further study as an adjunct anesthetic agent.

Adrenergic alpha-Agonists↗