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At least 1,063 records · Page 59Linked to original sources
PubMed1995

Integrating nursing research and practice: Part II-A Delphi study of nursing practice priorities for research-based solutions.

Reading formal research reports and developing the art of critical analysis and evaluation are essential skills for nurses in practice. Here is an opportunity to begin developing these skills as Catherine Cooney, Susan Stebbings, Margaret Roxburgh, Janice Mayo, Niqui Keen, Ellen Evans and Therese Meehan report a survey done by nurses in Northland. Feedback through letters to the editor would be welcomed.

Delphi Technique↗
PubMed1995

Practice parameters for the use of polysomnography in the evaluation of insomnia. Standards of Practice Committee of the American Sleep Disorders Association.

These clinical guidelines, which have been reviewed and approved by the Board of Directors of the American Sleep Disorders Association, provide recommendations for the practice of sleep medicine in North America for the use of polysomnography in the evaluation of insomnia. The diagnosis of sleeplessness, or insomnia, is primarily based upon a careful, detailed medical and psychiatric history. Clinicians have sought an objective means to measure this symptom and have, therefore, turned to polysomnography. The American Sleep Disorders Association has assessed the available data and produced guidelines for the use of polysomnography in evaluating the symptoms of insomnia. Polysomnography is not required for the routine evaluation of transient or chronic insomnia. Polysomnography is, however, indicated in the evaluation of suspected sleep-related breathing disorders and periodic limb movement disorder, which may occasionally contribute to a complaint of insomnia, particularly in middle-aged or elderly patients. In addition, when the cause of insomnia is uncertain or when behavioral or pharmacologic therapy is unsuccessful, polysomnography may be helpful.

Guidelines as Topic↗
PubMed1994

Infection control in the dental practice with emphasis on the orthodontic practice.

Infections present a significant hazard in the orthodontic office because they can be transmitted by blood or saliva through direct or indirect contact, droplets, aerosols, or contaminated instruments and equipment. Because the incidence of certain microbial cross-infections in the dental environment has not been well documented, orthodontic personnel may not take the problem of cross-infection as seriously as they should, and they may transmit or contract more infections than they realize. The use of effective infection-control procedures in the orthodontic office and laboratory will prevent cross-contamination that may extend to the orthodontist, office staff, assistants, and patients. The goal of this article is to present infection control in a simple, yet comprehensive, manner, and to encourage all orthodontic practitioners to implement essential infection-control procedures in their practices.

Blood-Borne Pathogens↗
PubMed1993

Kansas risk management laws and nursing practice: approaches towards compliance in reporting substandard nursing practice in acute care facilities.

This article provides a structural outline of the many basic elements needing to be considered when institutions are developing a system for review of incidents that may fall below the applicable standard of care. Details for program development need to be explored and implemented with the mindset that the process will be modified and continuously improved over time. Protecting the interest of the individual licensee, the healthcare institution and the public are important aspects that demand attention when complying with the Kansas Risk Management Laws as they pertain to nursing practice.

Ethics, Nursing↗
PubMed1995

The practical aspects of quality assurance in Good Laboratory Practice studies in an emergency situation.

In this report, the damage and countermeasures taken in relation to the Great Hanshin Earthquake are described. We report on the measures taken to counter damage in affected Good Laboratory Practice (GLP) studies by citing concrete examples. Case A: the testing facility was not affected, but a regulatory inspection had been scheduled for this day. Fortunately, official inspectors had reached the facility on schedule. Case B: The building for toxicology experiments was destroyed. Fortunately, most of the GLP-compliant experiments had been completed except one, the preparation of histological samples that was the last stage of the experiment. We asked the regulatory authority for appropriate countermeasures. The answer was that an inspection of the study could be conducted if an inspection is judged to be necessary. Case C: A necropsy was scheduled on this day. The study director decided that the necropsy should be postponed at least 1 week until he could secure the number of researchers needed to conduct the necropsy. Case D: The facility in Itami was destroyed. The facility was closed and the animals were moved to Kobe. The animal facility in Kobe was not affected, but because water supply stopped for 3 days, stocked water was used. Case E: Damage to computer systems in Kinki area was reported. Numerous computers fell from desks or were damaged from the impact shock. With the exception of a few, most of the damaged computers were repaired.

Animals↗
PubMed1997

[Self determination of patients in social psychiatric practice. A medical ethics model and its practical application].

To protect patients' autonomy, valid informed consent must be given prior to medical treatment. This includes disclosure of information, understanding, ability to decide freely, and competence/capacity of the patient. However, a psychiatric disorder may disturb the ability to make a choice of their own. These patients have lost their competence to give valid informed consent. In everyday practice of social psychiatry, it is of particular interest to have objective and valid criteria to identify the incompetent patient. These problems are discussed in a case report, and four criteria (understanding, reasoning, decision making and appreciation of the disorder) are presented to diagnose the patients' competence.

Adult↗
PubMed1998

[Hazardous materials and work safety in veterinary practice. 1: Hazardous material definition and characterization, practice documentation and general rules for handling].

In the last years the standards for professional handling of hazardous material as well as health and safety in the veterinary practice became considerably more stringent. This is expressed in various safety regulations, particularly the decree of hazardous material and the legislative directives concerning health and safety at work. In part 1, a definition based on the law for hazardous material is given and the potential risks are mentioned. The correct documentation regarding the protection of the purchase, storage, working conditions and removal of hazardous material and of the personal is explained. General rules for the handling of hazardous material are described. In part 2, particular emphasis is put on the handling of flammable liquids, disinfectants, cytostatica, pressurised gas, liquid nitrogen, narcotics, mailing of potentially infectious material and safe disposal of hazardous waste. Advice about possible unrecognized hazards and references is also given.

Germany↗
PubMedDate not supplied

Specialty practice entrepreneur: the advanced practice nurse.

There are many opportunities in the health care arena to make a difference. The structured sense of change is "old school." New "surfers" of the system will be entrepreneurial in spirit, energy, and flexibility. There is no job description for the perfect person, only a sense of excitement and innovation that gives one the feeling energetic change is about to happen. In nursing, the risk takers are abundant in the APN role. It is the reason why they walk the line of provider/nurse. Making a difference to patients is important. Riding the waves of clinical care is the excitement. The final results are "the big waves" of life--a patient's life. A provider who defines the reality of practice creates a vision and skillfully bridges the road between the two. Design the surfboard--catch the wave.

Entrepreneurship↗