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Biomedical subjects

B J Lekander

Publications and source records attributed to B J Lekander.

8 recordsLinked to original sources
PubMed1994

Overcoming the obstacles to research-based clinical practice.

The utilization of research findings in the practice of critical care nursing is essential to obtain optimal patient outcomes. However, the speed and extent to which new research-based findings are applied to clinical practice falls short of expectations. The authors identify obstacles to the timely utilization of research. Strategies to overcome the obstacles to research-based clinical practice are presented.

Clinical Nursing Research↗
PubMed1990

The syndrome of multiple organ failure.

Current technology has prolonged the life support of patients with organ failures. The onset of MOF follows an inciting event and develops a clinical pattern of lung, liver, and kidney failure. Laboratory evidence of the syndrome includes hyperbilirubinemia, hyperglycemia, increased blood lactate, and reduced levels of hepatic proteins. Energy expenditure in MOF is increased and severe sepsis or septic shock can initiate the process of hypermetabolism and MOF. Current therapy is aimed at source control, restoration of oxygen transport, and metabolic support. Critical care nursing provides a technological and humanistic approach in developing a supportive environment for patients and families. Scientific study of the effects of nursing interventions on patient outcomes is needed to evaluate critical care nursing activities.

Critical Care↗
PubMed1987

Clinical nurse specialists: an institutional process for determining priorities.

This article describes a four-step process designed by a midwest teaching hospital to identify priorities for the appointment and use of clinical nurse specialists. In an era of cost containment where the outcomes and effectiveness of staff positions are continually questioned, such a process enhances the objectivity and quality of administrative decision making.

Humans↗