Documentation of the nursing process in the operating room.
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Biomedical subjects
Publications and source records attributed to B Wakefield.
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The purpose of this study was to evaluate whether lengthening the dwell time of peripheral i.v. catheters from 72 hours to 144 hours resulted in increased rates of phlebitis and/or infiltration. The study was conducted in medical/surgical units at a 110-bed teaching hospital with an i.v. team. Kaplan-Meier estimates of the success and failure and conditional failure probabilities were calculated for phlebitis and infiltration scores. Log rank tests were used to test for an association between the covariates and the time until failure. Drug irritation was the most significant predictor of phlebitis and infiltration rates in this study. The total difference in the estimated failure rates for the catheter lasting 6 days versus a new catheter inserted for another 3 days is 1.3%. Because the conditional failure probability estimates for days 4, 5, and 6 are slightly higher than for days 1, 2, and 3, consideration may be given to extending the dwell time of a peripheral i.v. catheter beyond 72 hours under certain circumstances.
Nursing diagnosis is increasingly recognized as an integral component of professional nursing practice. Implementation of nursing diagnosis impacts on all elements of professional practice: the philosophy, purpose, and objectives of an organization; care planning; quality assurance; staff education; performance standards; the nursing care delivery system; documentation; and patient classification. A guide organized around these elements has been developed to assist with the implementation of nursing diagnosis. This guide can be used to gather information to plan for the implementation of nursing diagnosis or as a post-test to judge the success of the implementation process.
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The Joint Commission requirements have had a major impact on both the delivery and evaluation of nursing care in hospitals. This article discusses changes in the Joint Commission nursing care standards from 1953 through 1991 and the relationship between the Joint Commission and organized nursing.
Although nurses constitute the largest single group of healthcare providers in the United States, confusion exists about what nurses actually do. This article provides an overview of the Nursing Interventions Classification (NIC), which is the first comprehensive classification of nursing treatments. Quality management professionals will find the NIC useful in designing quality management programs, meeting Joint Commission standards, and planning redesign initiatives.