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Biomedical subjects

C G Grindel

Publications and source records attributed to C G Grindel.

At least 19 recordsLinked to original sources
PubMed1997

Assessing for sexual abuse.

1. Knowing the sexual abuse history of a patient contributes to a greater understanding of the patient's clinical problems and facilitates appropriate discharge planning. 2. Obtaining a history of sexual abuse is not always part of the nursing admission assessment sheet, and many staff members have little or no training on the therapeutic interventions for a history of sexual abuse. 3. The lack of staff training and the ambiguous nature of sexual abuse assessment must be examined in relationship to quality patient care.

Adult↗
PubMed1997

Nurses preparing for change: their needs and concerns.

As a result of decreased lengths of stay and cost-containment initiatives, fewer nurses are needed in acute care settings. The trend for community-based health care is broadening employment opportunities for nurses to work in community settings. As nurses are considering options to base their practice in community settings, it is important to understand their concerns about making this transition. The results of a qualitative study conducted to examine the concerns and educational needs of acute care nurses related to working in the community are reported. Clinical, professional, and intrapersonal skills important for a successful transition to community-based practice are identified and discussed.

Acute Disease↗
PubMed1996

The Practice Environment Project. A process for outcome evaluation.

OBJECTIVE: Evaluating the practice environment is essential to determine if the practice environment is conducive to the delivery of quality patient care. The Practice Environment Project (PEP) was created to provide a framework for current and ongoing evaluation of the practice environment. BACKGROUND: Major changes in the delivery of patient care services have focused attention on the evaluation of the effectiveness of these changes. The extent and type of change may vary throughout an institution. The identification of core variables to assess the effectiveness of these changes sets the framework for ongoing evaluation of new unit-based models for delivery of services. METHODS: In part 1, quantitative data were collected from nursing staff members (job satisfaction, collaboration with physicians, autonomy), physicians (quality of nursing care, collaboration with nurses), and patients (satisfaction with nursing care). In part 2, focus groups were held with nursing personnel to discuss factors that affected the provision of services. Unit-based action plans were developed to manage barriers to the delivery of services. RESULTS: Patients and physicians reported a high degree of satisfaction with patient care. Physicians reported a higher level of collaboration with nurses than that reported by nurses. Nurses reported a high degree of autonomy in practice, however, in other areas of job satisfaction (development and recognition), they suggested areas for improvement. CONCLUSIONS: The PEP created a mechanism to evaluate the current state-of-the-practice environment by identifying core elements for evaluation of work redesign. It also provided a framework for managing barriers that disrupted the delivery of patient care services.

Focus Groups↗
PubMed1996

Sexual abuse assessment on admission by nursing staff in general hospital psychiatric settings.

OBJECTIVE: Clinicians should have information about patients' sexual abuse history as early as possible, because a history of sexual abuse may affect psychiatric patients' presentation of symptoms and response to treatment. The authors surveyed a nationwide sample of acute inpatient psychiatric facilities to determine whether a history of sexual abuse was completed on admission. METHODS: A survey questionnaire about current practices relating to assessment of patients' history of sexual abuse was sent to nurse managers at every general hospital in the U.S. that offered inpatient psychiatric services (N = 1,410). RESULTS: Although respondents at 69 percent of the 466 facilities that participated in the survey believed that the admission assessment of psychiatric patients should always include a history of sexual abuse, only 43 percent of responding facilities included such histories in the admission assessment. Reasons for not including the history included patients' and staff members' unwillingness to discuss sexual abuse, lack of staff competence in discussing the issue, and duplication of data collection that occurs later in the patient's hospital stay. CONCLUSIONS: Nurse managers of inpatient psychiatric services in general hospitals recognize the importance of including an assessment of patients' history of sexual abuse in the admission assessment but report several obstacles to implementing this procedure.

Adolescent↗
PubMed1996

Supervision of suicidal patients in adult inpatient psychiatric units in general hospitals.

OBJECTIVE: The safety of suicidal patients is expected to be maintained during hospitalization. This study surveyed a sample of adult inpatient psychiatric units in general hospitals across the United States about their use of various levels of supervision for suicidal patients, the advantages and disadvantages of these interventions, and issues of cost and reimbursement for the services. METHODS: A 33-item questionnaire was sent to a nationwide random sample of hospital-based adult inpatient psychiatric units. A total of 105 surveys from all regions of the country were used in the analysis. RESULTS: Although 98 hospitals reported that they used one-to-one continuous observation of suicidal patients, observation of the suicidal patient every 15 minutes was the most frequently used type of supervision, ranked first or second in frequency by 69 hospitals. Patients' safety was the most frequently cited advantage of supervision, and increased staffing the most frequently cited disadvantage. In most cases, the cost of supervision for suicidal patients was absorbed by the hospital, and hospitals were not reimbursed for care based on the severity of patients' illness. CONCLUSIONS: Future research on the effectiveness of various strategies for supervision of suicidal patients should include cost-benefit analyses. Policies for reimbursement for care of suicidal patients should be based on the patient's severity of illness.

Adolescent↗
PubMed1996

Nutrition screening: an essential assessment parameter.

Nutrition plays a significant role in preventing the incidence and prevalence of disease and more importantly, promoting health. Nutrition screening is an important tool used by nurses and dietitians to identify and assess clients at risk for nutritional compromise.

Adult↗
PubMed1996

Building nursing's minimum data set: the results of a pilot study.

Nursing's viability in health care data bases is nonexistent. If nursing is to receive acknowledgment and reimbursement for the services provided to patients, nursing data elements must be visible in national health care databases. To identify nursing data elements, this pilot project tested three instruments that could be used to identify nursing diagnoses commonly used in the peri-operative and peri-procedural care of patients. The results of the pilot project survey, the instrument of choice, and nursing diagnoses used during the pre, intra, and postoperative/procedural experience are described.

Data Collection↗
PubMed1994

Fatigue and nutrition.

Fatigue is a significant clinical problem for medical-surgical patients experiencing acute and chronic health problems. Fatigue can cause nutritional intake to suffer and compromises overall functional status. A thorough assessment of the factors associated with a patient's fatigue enables the nurse to develop a fatigue management plan and implement other strategies to minimize the negative consequences of fatigue.

Fatigue↗