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Community care provision: data collection for planning.

The Core Community Dataset (CCDS) is being used by community healthcare practitioners to record care provision. This article describes the principles behind the system and examines how nurses can use the information defined in standard terms to inform care planning.

Community Health Nursing↗

Analysis of nurse-doctorates; data collected for the International Directory of Nurses with Doctoral Degrees.

In an American Nurses' Foundation survey of the 1973 population of nurses with doctoral degrees (N = 1,020) general trends in doctoral education of nurses were elicited. Specific unique characteristics were highlighted, including: a continuing trend for nurses to earn the Ph.D. rather than the Ed.D., a divergence between field of doctoral study and the current field of research interest, and a slight number of these qualified nurses actually participating in research of any kind. The majority of subjects were single; most were employed in a university or college where they held either full or associate professorships; most considered themselves still to be in the field of nursing, although their doctoral studies frequently took them out of the discipline; their work responsibilities were heavily loaded with administrative duties. As compared with the holders of doctoral degrees in other fields, nurses earned their degrees later, but took no longer to complete them. While universities in the Mid-Atlantic states were the largest producers of nurse-doctorates, universities in the Midwest were found to be the most frequent employers. Questions regarding the future direction of nurse-doctorates were raised.

Adult↗

Nosocomial coagulase negative Staphylococci bacteremia: five year prospective data collection.

UNLABELLED: Coagulase-negative Staphylococcus (CoNS) species, as a group, constitute a major component of the normal microflora of the human skin and mucous membranes. Over the last 20 years, there has been an increase in the documentation of infections due to CoNS, especially with S. epidermidis species, the most common cause of nosocomial primary bloodstream infections. OBJECTIVE: To determine the frequency of CoNS isolates in blood cultures, to evaluate the meaning of this isolation (contaminant or pathogen), and to determine their epidemiologic and susceptibility patterns (oxacillin, ciprofloxacin, vancomycin, clindamycin and teicoplanin). METHODS: All strains of CoNS isolated from blood cultures collected from adults and children during 1993 to 1998, were classified as contaminant or pathogenic according to NNISS criteria (1988). Infections were classified as primary or secondary bacteremia, from clinical or surgical patients, and divided by sex and age. Susceptibility patterns were also studied in both groups. RESULTS: From 1993 to 1998, 1,702 positive blood cultures were recorded. CoNS were isolated from 546 samples (32%), with 306 (56%) classified as contaminant and 240 (44%) as true bacteremia. The presence of an intravenous catheter was an important risk factor. Endocarditis (47%) ans pneumonia (32%) were the most common sites leading to secondary bacteremia. CONCLUSION: The results confirm the increasing importance of true CoNS bacteremia and confirm their association with prosthetic valve endocarditis. We emphasize the need for care at the time of blood collection, as well as the need for care in the processing of the material, so that contamination can be reduced. This will allow a more precise description of the infections caused by coagulase-negative Staphylococcus.

Adult↗