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At least 19 recordsLinked to original sources
PubMed1997

[Nursing care in fever--a literature study and intensive care nurses' viewpoint on nursing care and treatment of fever].

Fever is a symptom of a disease which has caused people inconvenience since ancient times. The view upon fever, what it is and how to treat it, has been changing from time to time. Today there is at debate whether fever is friend or foe. Patients in an intensive care unit almost always has an increased body temperature. The Intensive Care Unit (ICU)-staff look upon fever as a natural response to an infection but they have different opinions about what treatment should be used. The purpose of this study was to investigate what was written about fever and compare to the knowledge and nursing care among nurses working in a specific ICU. Thirty-six questionnaires were distributed and 28 were answered. We have found that the nurses, among themselves, have different ways of caring for the feverish patient. Administration of antipyretics, fluids, nutrition and furthermore cooling and warming measures differ between nursing and literature. Particularly concerning the cooling measures nurses take without previous administration of antipyretics. This is something that the literature definitely dissuades from because of the risk of initiating a chill and perhaps rise the temperature instead. We can also conclude that the nurses do not describe their patients feverish conditions in similar words which can lead to misunderstandings. Finding a similar language in nursing documentation is therefore essential.

Analgesics, Non-Narcotic↗
PubMed1993

Factors influencing home care nursing problems and nursing care.

This study was conducted to determine the contributions of sociodemographic factors, medical conditions, and nursing dependency to nursing problems identified and nursing care provided to patients during a home care nursing visit. Patient interviews, direct observation of nursing care, record abstraction, and nurses' reports were used to obtain data from 438 patients receiving nursing visits from a certified home health agency. Nursing dependency was the strongest predictor of the nursing problems of and nursing care provided to home care patients. Measures of nursing dependency should be incorporated in models to determine the extent of nursing problems and nursing care provided in the home and in models of home care nursing reimbursement.

Activities of Daily Living↗
PubMed1989

[Perceptions of spiritual nursing care nurses and nursing students].

This study was designed to clarify how nurses and nursing students perceive their clients' needs for spiritual nursing care, it's practices, and problems. The purpose was to suggest directions for the development of spiritual nursing practice. The major findings are as follows: Respondents primarily perceived spiritual nursing as nursing care designed to help terminally ill patients accept death. Many of the respondents showed a high level of awareness of spiritual nursing care and its necessity. Few of them, however, bad actual experience in spiritual care. Those with experience in spiritual nursing care tend of take either a religious approach or perceived it as the therapeutic use of the self. The greatest problem related to the practice of spiritual care was found to be lack of time. Most of nurses and nursing students were found to be well aware of the needs for spiritual nursing care but were hindered from practising it because of the lack of time. To resolve the problem it was recommended that the scope of nursing practice be readjusted and that pre- and in-service programs should be developed to further heighten nursing students' interest in spiritual nursing care.

Humans↗
PubMedDate not supplied

Stressors of hospice home care nurses caring for AIDS patients: a pilot study.

This exploratory study identified stressors of home care hospice nurses caring for hospice patients with AIDS. Five hospice home care nurses provided data obtained from demographic questionnaires and semistructured interviews. Results of this pilot study confirmed that experienced hospice nurses believe there is a difference between caring for AIDS hospice patients and non-AIDS hospice patients, and that nurses face increased stress when caring for AIDS hospice patients. Further research is needed to provide better care for the hospice patient with AIDS, and to acknowledge and respond to the increased demand on the nurses who care for them.

Acquired Immunodeficiency Syndrome↗
PubMed1999

Experiences of critical care nurses caring for unresponsive patients.

Grounded theory methodology was utilized to explore the experiences of critical care nurses caring for patients who were unable to respond due to a traumatic brain injury or receiving neuromuscular blocking agents. The registered nurses participating in the study worked in a neuroscience intensive care unit. Saturation of the categories was achieved with 16 interviews. The core category that emerged from the study is Giving the Patient a Chance. The subcategories of Learning about My Patient, Maintaining and Monitoring, Talking to My Patient, Working with Families, Struggling with Dilemmas and Personalizing the Experience all centered upon the focus of doing everything to help the patient attain the best possible outcome. Factors influencing each of the subcategories were identified such as the acuity of the patient, experience level of the nurse and the presence or absence of family members or significant others. These factors accounted for the variations in the nurses' experience. Several reasons accounting for the variations were determined. The study identified areas that need to be addressed in both general nursing education and nursing practice, such as instruction on talking to comatose patients, working with families and orientation information for nurses new to caring for these populations. Recommendations for improvement in these areas, as well as for future studies are discussed.

Adult↗
PubMedDate not supplied

Ethical dilemmas encountered by home care nurses: caring for patients with acquired immune deficiency syndrome.

The results of two ethnographic studies of home care nurses' work experiences showed that nurses caring for patients with acquired immune deficiency syndrome encounter a variety of ethical dilemmas. Examples of patients' and nurses' dilemmas are described. Suggestions are offered for helping nurses recognize these complex situations as dilemmas and for using input from coworkers to help resolve them.

Acquired Immunodeficiency Syndrome↗
PubMed2002

Swedish forensic nursing care: nurses' professional contributions and educational needs.

Nurses (registered nurses, RN, and licensed mental nurses, LMN) working in five Swedish forensic psychiatric units filled in a questionnaire designed for general psychiatric nursing, but modified for forensic use. In this report, data regarding how nursing care could contribute to improved care and the organizational changes needed and what knowledge the nurses need, in order to be able to meet the demands in the future, were analysed by means of content analysis. The salient findings were: (i) an interpersonal patient-nurse relationship based on trust, empathy, respect and responsibility for the patients' personal resources and knowledge seems to be the essence of nursing care and a way to improve care; and (ii) the nurses' educational needs emanate from different treatment modalities, how to perform different treatments, how to establish developing relationships and in-service training adapted to the ward-specific problems.

Anecdotes as Topic↗
PubMed1998

Reflections on loss without death: the lived experience of acute care nurses caring for neurologically devastated patients.

The article reports the lived experiences of eight acute care nurses who cared for three patients with severe brain injury. The patients were hospitalized for months, primarily as a result of family dynamics. Semistructured interviews of the nurses were audiotaped, transcribed, and analyzed for common themes that described their experiences. Research focused on what the nurses experienced regarding patient care and how they interpreted their experiences. Seven themes were uncovered: fear and vulnerability, trying to connect (with patients), empathy, futility, feeling abused (by families), struggling for support (from colleagues and physicians), and seeking affirmation through physical care. General interpretations of the experience were negative.

Acute Disease↗
PubMed1986

A comparison of nursing care requirements of patients in long-term geriatric and acute care nursing units.

It is commonly assumed that elderly patients in long-term care facilities require less total care and less professional care than patients in active 'treatment' settings. However, no objective data have been available to support or refute these assumptions. This study examined patient classification data obtained from eight acute care medical and surgical units and four long-term care geriatric units over a 1-year period. Results indicated that geriatric patients in long-term care units had differing (as opposed to similar) nursing care needs, nursing care requirements of geriatric patients in several long-term care units differed from those of patients in another long-term care unit, geriatric patients in the selected long-term care units required at least as much nursing care as those in the medical surgical units, and the long-term care units had many patients with extensive nursing care requirements but no patients with very complex requirements when compared with the medical/surgical units. The potential impact of these findings on staffing of long-term care units is considerable. Issues relating to reliability, validity and comparability are discussed. There is a great need to utilize standardized, state-of-the-art methods for nursing workload measurement to facilitate comparisons of nursing care requirements of geriatric long-term care patients with those of patients in other areas.

Aged↗
PubMed2005

Needlestick injury in acute care nurses caring for patients with diabetes mellitus: a retrospective study.

OBJECTIVE: To quantify the incidence and assess the risk of needlestick injury (NI) in nurses caring for patients with diabetes mellitus. METHODS: A total of 400 nurses caring for patients with diabetes in 381 different hospitals throughout the United States over a period of at least 1 year voluntarily completed an Internet-based data collection instrument. The nurses self-reported comprehensive data on their experience with NI, focusing on those occurring within the past year. If respondents experienced multiple NI during this period, detailed data were collected on the most recent event. RESULTS: Of the 400 nurses, 313 (78.3%) reported experiencing at least one NI, 110 (27.5%) reported at least one NI within the last 12 months, and 44 (40% of 110) reported multiple NI. Nearly two-thirds of these injuries (n = 73/110; 66.4%) were punctures that drew blood, resulting in one case of contracted hepatitis C. The cumulative annual incidence of NI events was 448 NI per 1000 nurses. Nurses reported the injury in adherence with existing regulations and policies in only 21.8% of the cases. Disposable syringes were involved in 88 (80%) of the NI events. In half of the injuries (n = 55), the needled device was equipped with a safety feature that was ineffective, primarily because it was not fully activated (n = 47/55; 85.5%) or it malfunctioned (n = 2-5; 3.6-9.1%). NI most commonly occurred while nurses were injecting insulin (n = 33; 30%). In the 2 weeks following their NI, 60.1% of nurses noted that they were more afraid of needled devices than before the injury and 41.8% felt anxious, depressed, or stressed. As a direct result of the NI, nurses missed 77 days of work. CONCLUSIONS: This study is the first to show the relatively high risk both of NI and of NI that draws blood among nurses injecting insulin with a disposable syringe and confirms previous incidence estimates of NI among nurses. Additionally, this study reveals significant post-NI emotional distress, suggests significant under-reporting of NI to hospital officials, and demonstrates the need for a more effective needle safety device.

Accidents, Occupational↗
PubMed2001

Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients.

AIM: This study compared the cost and effectiveness of long-term institutional care and home care for stroke patients with severe physical disabilities. BACKGROUND: Whether home care is more economical or effective than institutional care for patients with chronic illnesses remains controversial when the cost of family labour is considered. Thus, decisions concerning the appropriate type of care setting for patients with severe chronic illness remain difficult. METHODS: From November 1995 to March 1996, 313 hospitalized stroke patients with severe physical disabilities treated at one of five hospitals in the Taipei metropolitan area were followed from the day of hospital discharge until the third month after discharge. These 313 patients were divided into four groups as follows: (1) 106 who were admitted to a chronic care unit in a hospital, (2) 60 who were admitted to nursing homes, (3) 60 who received professional home nursing care and (4) 87 who returned home without receiving professional care. The change of physical functional status in the patient was examined as the difference between activities of daily living (ADL) scores measured at discharge and at the end of the third month after discharge. RESULTS: Information on family costs for caregiving, including pay for long-term services utilized, labour costs for caregiving and out-of-pocket expenditures for miscellaneous materials was obtained during a weekly telephone interview. The results indicated that caring for patients in their own homes was not only more expensive but was also less effective in improving ADL scores than caring for patients in nursing homes and in chronic care units of hospitals. CONCLUSIONS: The results suggest that caring for patients with severe physical disabilities in institutions is more appropriate than caring of them at home.

Activities of Daily Living↗
PubMed2001

The perceived learning needs of paediatric intensive care nurses caring for children requiring haemofiltration.

This paper reports on a small exploratory phenomenological study to describe the lived experiences of paediatric intensive care nurses, who extended their roles to care for critically ill children requiring continuous veno-venous haemofiltration. In describing and understanding this learning experience, an insight into the educational and support needs of these nurses is offered. From the insight shared, five main themes were identified. These included the overwhelming need to be a competent practitioner, which was perceived within the context of knowledge for effective practice and technical dexterity.While generalizability of findings is not intended, the findings could be of value to other intensive care settings to guide the identification and implementation of strategies to meet the needs of nurses undertaking similar roles.

Child↗
PubMed1991

An agenda to promote self-care. Nursing care of skeletal pin sites.

Treatment of skeletal pin sites is often open to ritual practice. To avoid pin reaction, reassessment of cleansing agents used and the involvement of patients in their care is required. By motivating patients to self-care, nurses can help them come to terms with an altered body image.

Bone Nails↗
PubMed1998

A model of professional nurse caring: nursing students' experience.

Research into caring from the perspective of nursing students is poorly documented. This paper presents a study which described the construct of caring as experienced by students in pre-registration programmes at two universities in New South Wales, Australia. Qualitative data were collected using a questionnaire and semi-structured interviews. From the analysis of the data a model of professional nurse caring from the student's perspective was created. In this model, compassion, as the core of caring is actualized in the students' nursing of patients by communicating, providing comfort, being competent, being committed, having conscience, being confident and being courageous. Communication is not only an actualization of this caring but constitutes an important medium for the expression of caring actions.

Australia↗
PubMedDate not supplied

Understanding Huntington's disease: an overview of symptomatology and nursing care. Nurses must balance safety, quality-of-life issues, the need for personal choice, and the meaning of human dignity when caring for patients with Huntington's disease.

Patients and families who have been affected by HD deserve high-quality and dignified nursing care. The complexity and extent of losses and uncertainties imposed by this illness challenge nursing. We have briefly reviewed the current state of knowledge regarding the illness and the nursing interventions appropriate for working with people with HD. What is missing is an empirically validated body of interventions to guide nursing practice. Nursing research is needed to validate existing care practices, generate new interventions, and to begin to build theoretical explanations that assist nurses in providing care to people with Huntington's disease.

Aged↗