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Biomedical subjects

B Goldrick

Publications and source records attributed to B Goldrick.

8 recordsLinked to original sources
PubMed1996

Reported blood exposure rates and staff nurse satisfaction with a closed surgical drainage system.

BACKGROUND: The purposes of this investigation were (1) to describe performance characteristics, incidence of exposure, and staff satisfaction with a closed drainage system, the Kendall Tru-Close, and (2) to compare performance, incidence of exposure, and satisfaction between the closed drainage system and a currently used surgical drainage system (the Hemovac). METHODS: Subjects were 40 adult male and female patients who had undergone selective orthopedic joint surgery. Twenty patients received the Hemovac drainage system, and 20 patients received the Tru-Close drainage system. Data collection instruments included a patient demographic data form, a daily assessment form, a nurses' bedside survey (self-report), and a satisfaction questionnaire. RESULTS: There were significantly fewer exposures with the closed drainage system when compared with the Hemovac system. An odds ratio of 5.09 indicated that the odds of exposure to fluids with the Hemovac system were five times greater than for the closed system. Nursing satisfaction scores were higher for the Tru-Close system than the Hemovac system for items that related to protection from exposure to self or environment. However, overall nursing satisfaction with the new device was mixed. CONCLUSIONS: Although nurses liked the increased protection from exposure afforded by the Tru-Close drainage system, other patient management issues emerged related to the increased weight of the reservoir bag.

Adult↗
PubMed1996

Exposure risks related to the management of three wound drainage systems.

BACKGROUND: In response to the Occupational Safety and Health Administration regulations and Centers for Disease Control and Prevention guidelines, health care employers must explore and incorporate new methods to protect staff and patients from blood-borne pathogens. An area directly affected by the new OSHA standards is the postoperative management of surgical drainage systems. This study compared three surgical wound drainage systems: a "closed" system (Tru-Close) and two currently used drainage systems (Hemovac, and Mini-Snyder) for nursing practices and risk of exposure to blood or body fluids in a simulated setting. METHODS: Fifty-eight volunteer registered nurses were asked to choose appropriate personal protection equipment and use recommended universal precautions while measuring and emptying fluid and reactivating each of the drainage systems and to complete a satisfaction questionnaire. Each postoperative wound drainage system was filled with simulated wound drainage and connected to a manikin in an empty patient room. Exposure/contamination was defined as spilling, dripping, or splashing of simulated drainage fluid anywhere in the patient's room or bathroom. RESULTS: Forty-five percent of nurses who emptied bulb evacuator systems and 40% of nurses who emptied Hemovac systems had resulting contamination to the environment or exposure to self. There were no contaminations with the Tru-Close system. Most contaminations were droplets of fluid on environmental surfaces rather than on the nurses themselves. Most nurses chose gloves for personal protection regardless of the system used. Gowns and face shields were rarely used. Most contaminations were due to emptying simulated fluid (27%) or emptying rinse water (29%) into the patient's toilet. Twenty-three percent (23%) of contaminations occurred while simulated fluid was poured into a container at the bedside. The most common object contaminated was the toilet seat (67%). The bed linen was contaminated 16% of the time. Nurse's gloves were exposed in 6% of the trials. CONCLUSIONS: As administrators and researchers explore new methods to protect patients, health care providers, and the environment from blood-borne pathogens, changes should be balanced with the impact on patient care and user satisfaction.

Adult↗
PubMed1994

Intraorganizational influence in the health care setting: a study of strategies preferred by head nurses and infection control practitioners.

BACKGROUND: The purpose of this study was to examine influencing strategy preferences among head nurses (HNs) in the operating room, HNs in critical care and ICPs. METHODS: A 21-item questionnaire on influencing strategy was used to identify 8 dimensions of influence: assertiveness, sanctions, ingratiation, rationality, bargaining, upward appeal, manipulation, and coalitions. The questionnaires were randomly distributed by regional coordinators in nine geographic regions throughout the United States to an operating room HN, a critical care HN, and an ICP at each of 12 hospitals (six with < 250 beds, six with > 250 beds). Two hundred ninety-seven respondents (92%) participated in the study. RESULTS: Although both HNs and ICPs rated rationality (logic, information, and appeal to intelligence) highest as the preferred approach to influence behavior, ICPs rated this dimension significantly higher than both operating room HNs and critical care HNs (p < 0.001). The least preferred strategy among all three groups was sanction (threatening job security). Critical care HNs rated manipulation (threatening to stop working with the other person) significantly higher than did both operating room HNs (p = 0.04) and ICPs (p = 0.01). Age was found to be a factor in the preference for sanctions as an influencing strategy, regardless of specialty: respondents younger than 40 years preferred sanctions less as a means to change behavior than did those older than 40 years (p < 0.01). CONCLUSION: These findings have implications for effective intraorganizational influence in health care settings.

Assertiveness↗
PubMed1994

Assessment of infection control programs in Maryland skilled-nursing long-term care facilities.

BACKGROUND: Nosocomial infections cause substantial morbidity and mortality among residents in long-term care facilities (LTCFs). Although infection control programs now exist in many LTCFs in the United States, little has been published regarding the effectiveness of these programs. The 1976 Centers for Disease Control and Prevention Study on the Efficacy of Nosocomial Infection Control (SENIC) established the effectiveness of infection control programs in acute care facilities. However, a limitation of that study was the exclusion of LTCFs. METHODS: The purpose of this pilot study was to assess infection control programs in LTCFs through the use of an Infection Surveillance and Control Questionnaire adapted from SENIC. The sample consisted of 123 skilled-nursing LTCFs in the State of Maryland. The questionnaire was completed by the person responsible for infection control activities in each LTCF. RESULTS: Results of the study show the following: (1) an upward trend in infection control activity in Maryland LTCFs, with the majority having medium activity, and (2) an estimated overall prevalence rate of infection of 4% on the basis of total resident census. CONCLUSION: The findings indicated that the Infection Surveillance and Control Questionnaire is a reliable instrument to assess infection control programs in LTCFs. A nationwide study is planned to examine the relationship between infection control activity and the risk of nosocomial infection among skilled-nursing LTCFs throughout the United States.

Aged↗
PubMed1991

Needs assessment as a marketing strategy: an experience for baccalaureate nursing students.

A marketing needs assessment was undertaken as a community health project for baccalaureate nursing students. The objective of the project were: (1) to conduct a needs assessment utilizing the concepts of marketing in health planning, and (2) to identify health needs of a community based on active participation by members of the community. Through a collaborative effort with a community health agency, students were able to integrate the principles of marketing and participative decision-making into a learning experience. The results of the needs assessment provided the agency with valuable information for strategic planning.

Adult↗
PubMed1990

Infection control programmed instruction: an alternative to classroom instruction in baccalaureate nursing education.

The purpose of this study was to determine whether self-managed learning in the form of a programmed unit of instruction (PUI) in the basic principles of infection control is an acceptable alternative to a standard lecture format for teaching infection control to nursing students. A sample of 108 subjects was selected from third-year baccalaureate nursing students at two universities. The subjects were randomly assigned to two groups. The experimental group was given the pretest, the PUI (treatment), the post-test, and a Likert scale opinionnaire of the PUI. The control group was pretested and presented the same content in a lecture format, then post-tested. A pretest-post-test control group design was used for data analysis and a one-way analysis of covariance was performed on the post-test means of the groups. Analysis of covariance (ANCOVA) was applied to the post-test means of the groups, with pretest scores and educational setting as covariates. Results indicate that nursing students who complete an infection control PUI score higher on post-tests than those who attend a lecture (p less than .001), regardless of pretest scores and educational setting. Subjects using the PUI also preferred this format and found the content manageable.

Cross Infection↗
PubMedDate not supplied

Learning styles and teaching/learning strategy preferences: implications for educating nurses in critical care, the operating room, and infection control.

OBJECTIVE: To assess the learning styles and educational strategy preferences among critical care nurses, operating room nurses, and infection control practitioners. DESIGN: Descriptive multicenter survey using a self-report questionnaire. SETTING: 108 hospitals from nine geographic regions of the United States. PARTICIPANTS: A random sample of 303 (93%) nurses in the three specialties responded to the survey questionnaires. RESULTS: The majority of participants (64%) had an abstract learning style and preferred the self-directed, discovery approach to learning. CONCLUSIONS: Nurses may be more abstract in their learning styles than previously reported. Experiential learning theory is an effective means of identifying nurses' learning styles and teaching/learning preferences, which can then be used to plan basic and continuing educational programs.

Adult↗