Evidence based nursing practice:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1999
|
| Schriftenreihe: | Critical care nursing clinics of North America
11,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 121 - 296 Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Evidence based nursing practice |c Zara R. Brenner, guest ed. |
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| 490 | 1 | |a Critical care nursing clinics of North America |v 11,2 | |
| 650 | 4 | |a Heart |x Diseases |x Diet therapy | |
| 650 | 4 | |a Heart |x Diseases |x Etiology | |
| 650 | 4 | |a Heart |x Diseases |x Nursing | |
| 650 | 4 | |a Heart |x Diseases |x Patients |x Rehabilitation | |
| 650 | 4 | |a Heart |x Diseases |x Prevention | |
| 650 | 4 | |a Heart |x Diseases |x Treatment | |
| 650 | 4 | |a Intensive care nursing | |
| 650 | 4 | |a Outcomes and Process Assessment |x Health Care |x nursing | |
| 650 | 0 | 7 | |a Intensivpflege |0 (DE-588)4161963-8 |2 gnd |9 rswk-swf |
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Datensatz im Suchindex
| _version_ | 1804127419566653440 |
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| adam_text | Evidence Based Nursing Practice
Contents
Preface ix
Zara R. Brenner
Manipulating Survival and Life Quality Outcomes in Heart Failure
Through Disease State Management 121
Nancy M. Albert
Disease state management programs were launched in recent years in an attempt to better manage
the health of target patient populations in a cost effective manner. In heart failure, outpatient disease
state management programs have demonstrated improved patient outcomes and robust savings
without compromise in quality patient care. The disease state management concept could be incorpo¬
rated along the continuum of care to promote optimization of heart failure medical therapies that
increase survival and quality of life, decrease hospitalized patient length of stay, prevent hospital
admissions, and significantly reduce health care expenditures fc r this costly medical ci nditii n. Aggres¬
sive, multidisciplinary programs that use pharmacologic and nonpharmacologic therapeutic guidelines,
and expert nurse clinicians to care for clients, may provide the best hope of manipulating current
morbidity and mortality statistics.
Evidence Based Clinical Outcome Management in
Interventional Cardiology 143
Connie Parson
Interventional cardiology procedures have skyrocketed in number since the first percutaneous translu
minal coronary angioplasty (PTCA) was performed in Zurich in 1977. The growth seen in this population
makes it an ideal model for incorporating principles of outcome management into current nursing prac¬
tice. This article discusses how the clinical care of the interventional cardiology patient in a large New
York State hospital has changed using evidence based outcome management. Selected topics discussed
are: vascular complication management, changes seen with anticoagulation. training registered nurses
as arterial sheath removers, and the deveh ipnient of a day of angi iplasty pr jceclure 1 )OPA) pr igram.
Rapid Progression Following Cardiac Surgery 159
Jean A. Clark, Lisa Guile Kotyra, and Theresa Brocious
This article analyzes specific practices in the intensive care unit for patient , undergoing cardiac
surgery. One medical centers experience of implementing practice changes to improve patient
outcomes and cost efficiency is reviewed. Outcome data and variance tracking tools are provided.
Outcomes Improvement Following Minimally Invasive Direct
Coronary Artery Bypass Surgery: The Role of Nursing in
Critical Care and Cardiovascular Risk Factor Reduction 177
Barbara L. Maglish, Jennifer L. Schwartz, and Robert G. Matheny
Minimally invasive direct coronary artery bypass (MIDCAB) surgery is performed in a select group
of patients who require single vessel revascularization. Peri operative outcomes data is reported for
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA
Volume 11 / Number 2 / June 1999 V
22H patients who underwent MIDCAB surgery. Nursing interventions associated with postoperative
critical care unit recovery and outpatient multifactorial cardiovascular risk factor management programs
are presented.
Unplugging the Mystery of Carotid Endarterectomy Patient Care 189
Maureen E. Krenzer
In today s health care environment, the goals of providing high quality care and achieving positive
patient care outcomes are determined with an eye on the financial picture. The process of creating
a clinical pathway for carotid endarterectomy allowed us to examine our care and determine an
evidence based practice for this population. Significant changes in our practice resulted in improved
patient satisfaction, quality patient care outcomes, decreased length of stay, and decreased costs.
Management Strategies for Improving Outcome Following
Severe Head Injury 209
Deborah Goldenberg Klein
Severe head injury is a major cause of disability, death, and economic cost. Significant reductions in
mortality and morbidity can be achieved through the use of evidence based protocols and guidelines.
Improved outcomes following severe head injuries are seen with complete, rapid physiologic resuscita¬
tion, and specific strategies that decrease intracranial pressure.
Early Enteral Feeding After Surgery 227
Linda Cole
This article discusses the immunological role of the gastrointestinal tract and explains how critical
illness or injury can adversely impact this system. Through a review of the research literature, early
enteral nutrition is identified as a key factor in maintaining gastrointestinal integrity, thus preventing
adverse effects from gastrointestinal dysfunction.
Management of Patients with Acute Respiratory
Distress Syndrome 233
JoAnne K. Phillips
Acute respiratory distress syndrome (ARDS) is a complex clinical syndrome characterized by noncardio
genic pulmonary edema and damage to the alveolar capillary membrane. The complexity of the
mediator cascades, fluid shifts, and inflammatory process associated with ARDS requires an in depth
understanding of the pathophysiology to determine management strategies. This article addresses
the pathophysiology, integration of assessment findings, and management strategies for the patient
with ARDS.
Successful Outcomes for the Ventilator Dependent Patient 249
Margaret M. Ecklund
In a health care environment where care is increasingly based on outcomes and focused on resource
utilization, the ongoing ventilator dependent population creates a challenge to the system. This article
explores the characteristics of patients who require mechanical ventilation beyond the critical care
unit and presents strategies to manage their plan of care for successful outcomes. Since the causes
of ventilator dependence are so varied, a customized plan of care is necessary for each individual,
with close attention paid to the setting of realistic goals in collaboration with the multidisciplinary
patient care team. This article also reviews a case study and includes sample teaching documents.
Developing an Emergency Department Team for Treatment of
Stroke with Recombinant Tissue Plasminogen Activator 261
Rosario Gonzaga Camfield
A sample patient suffers an ischemic stroke and receives rt PA treatment at a medical center equipped
with a stroke team. With the advent of approved thrombolytic therapy in the form of rt PA, many of
the over 500,000 people who suffer a stroke annually in the United States will be treated with this
agent in the emergency department. In this article, the author discusses the National Institute of
Neurological Disorders and Stroke (NIDS) rt PA Stroke Trial, which provides a blueprint for the
formulation of an in house organization to cope with the critical three hour window for successful
treatment. An account is also given of the cooperation required between the stroke team and the
EMS, ED, Neurology, Radiology, Nursing, Laboratory, and Pharmacy departments.
VI CONTENTS
The Effect of the Clinical Nurse Specialist on
Patient Outcomes 269
Erlinda C. Wheeler
There is increasing pressure for clinical nurse specialists (CNSs) to justify their role in terms of
improving quality of care as evidenced by positive patient outcomes. The literature review shows a
beginning body of evidence to support the positive effects of CNS on patient outcomes. Researchers
have shown that CNSs decrease patients length of stay (LOS), complications, health care use, health
care cost, and mortality rates. This article also reports the result of the author s research comparing
LOS and number of complications in patients cared for on units with clinical nurse specialists and
on units without them.
Implementation of a Nurse Practitioner Role in an
Acute Care Setting 277
Colleen Counsell and Michele Gilbert
Advanced registered nurse practitioners (ARNP) are becoming a mainstay in primary and acute care
settings because of the changes in the health care environment. Acute care hospitals are recognizing
the need to provide expert clinical care in a holistic manner, which requires communication and
recognition of the patient and patient s needs as central to the care delivered. Patients with neurological
acute care needs or injuries are often at high risk for fragmented care due to their complexity and
rehabilitation needs. The goal of this demonstration project was to develop a more proactive, patient
focused care delivery model. Outcome data assessed included: influence of the ARNP on the discharge
process, patient satisfaction, management structure, and enhancement of critical thinking by staff.
Outcomes Based Education in a Critical Care Nursing Course 283
Sheila A. Myer
Powerful economic forces are driving systems of higher education to implement change. Bducational
institutions need to borrow from health care and develop an oulcomes based educational delivery
system. Many states have already developed performance indicators for education and are tying them
into funding. The most important performance indicators answer the question of whether or not
students learned. This critical care nursing facility describes the evidence they use to answer yes.
students have learned a great deal .
Index 291
Subscription Information Inside back cover
CONTENTS Vii
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| series | Critical care nursing clinics of North America |
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| spelling | Evidence based nursing practice Zara R. Brenner, guest ed. Evidence-based nursing practice Philadelphia [u.a.] Saunders 1999 X S., S. 121 - 296 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Critical care nursing clinics of North America 11,2 Heart Diseases Diet therapy Heart Diseases Etiology Heart Diseases Nursing Heart Diseases Patients Rehabilitation Heart Diseases Prevention Heart Diseases Treatment Intensive care nursing Outcomes and Process Assessment Health Care nursing Intensivpflege (DE-588)4161963-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Intensivpflege (DE-588)4161963-8 s DE-604 Brenner, Zara R. Sonstige oth Critical care nursing clinics of North America 11,2 (DE-604)BV011338306 11,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008671164&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Evidence based nursing practice Critical care nursing clinics of North America Heart Diseases Diet therapy Heart Diseases Etiology Heart Diseases Nursing Heart Diseases Patients Rehabilitation Heart Diseases Prevention Heart Diseases Treatment Intensive care nursing Outcomes and Process Assessment Health Care nursing Intensivpflege (DE-588)4161963-8 gnd |
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| title | Evidence based nursing practice |
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| title_full_unstemmed | Evidence based nursing practice Zara R. Brenner, guest ed. |
| title_short | Evidence based nursing practice |
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| topic | Heart Diseases Diet therapy Heart Diseases Etiology Heart Diseases Nursing Heart Diseases Patients Rehabilitation Heart Diseases Prevention Heart Diseases Treatment Intensive care nursing Outcomes and Process Assessment Health Care nursing Intensivpflege (DE-588)4161963-8 gnd |
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